Individual
MIGUEL ANGEL GONZALEZ PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9109 S US HIGHWAY 1 STE 101, PORT ST LUCIE, FL 34952-3453
(772) 398-1305
(772) 398-1307
Mailing address
PO BOX 4189, DEERFIELD BEACH, FL 33442-4189
(954) 363-9582
(954) 363-9663
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
15000
PR
208D00000X
General Practice Physician
Primary
ACN-837
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111506100
—
FL
Enumeration date
01/23/2006
Last updated
11/12/2025
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