Individual
DR. MAURA E GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
206 2ND ST E, BRADENTON, FL 34208
(941) 746-5111
Mailing address
1821 WOODBINE ST APT 1L, RIDGEWOOD, NY 11385-3702
(786) 419-8010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME124215
FL
208M00000X
Hospitalist Physician
Primary
ME124215
FL
Other
Enumeration date
12/05/2013
Last updated
05/31/2018
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