Individual
DR. RAQUEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 5TH ST S STE 306, ST PETERSBURG, FL 33701-4804
(727) 767-4170
(727) 767-4346
Mailing address
601 5TH ST S STE 306, ST PETERSBURG, FL 33701-4804
(727) 767-4170
(727) 767-4346
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
ME133155
FL
2086S0120X
Pediatric Surgery Physician
ME133155
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME133155
MEDICAL LICENSE
FL
Enumeration date
05/02/2007
Last updated
10/05/2017
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