Individual
FANNY GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2525 SW 3RD AVE, UNIT CU-1, MIAMI, FL 33129-2056
(305) 856-7005
(305) 856-7533
Mailing address
PO BOX 144653, CORAL GABLES, FL 33114-4653
(305) 867-7005
(305) 856-7533
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME106001
FL
2080P0210X
Pediatric Nephrology Physician
Primary
ME106001
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002182200
—
FL
Enumeration date
05/23/2007
Last updated
02/06/2025
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