Individual
RICARDO J. GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12902 MAGNOLIA DR., FOB-1, TAMPA, FL 33612
(813) 745-6161
Mailing address
12902 MAGNOLIA DR., FOB-1, TAMPA, FL 33612
(813) 745-6161
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
ME102674
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000130200
—
FL
Enumeration date
09/21/2006
Last updated
03/26/2013
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