Individual
DR. BEATRIZ GONZALEZ-ABELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3003 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6307
(813) 554-8093
Mailing address
PO BOX 97770, ORLANDO, FL 32891-7770
(813) 974-2201
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
15275
PR
174400000X
Specialist
25MA08710500
NJ
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME125343
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019092300
—
FL
01
—
X6UUN
BLUE CROSS AND BLUE SHIELD
FL
Enumeration date
06/28/2006
Last updated
10/19/2020
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