Individual
DR. JOSE MANUEL GONZALEZ-CANAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3390 TAMIAMI TRAIL, SUITE 104, PORT CHARLOTTE, FL 33952
(941) 764-0444
(941) 764-0774
Mailing address
P.O. BOX 510276, PUNTA GORDA, FL 33951-0276
(941) 764-0444
(941) 764-0774
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0068859
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252817700
—
FL
Enumeration date
02/02/2006
Last updated
04/18/2017
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