Individual
DEREK GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14547 BRUCE B DOWNS BLVD STE A, TAMPA, FL 33613-2709
(813) 979-0440
(813) 355-5054
Mailing address
38135 MARKET SQUARE DR, ZEPHYRHILLS, FL 33542-7505
(352) 567-0188
(813) 355-5101
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
ME164149
FL
Other
Enumeration date
03/30/2017
Last updated
09/10/2023
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