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Individual

DANIEL GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4665 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2101
(786) 464-0749
Mailing address
2148 W 54TH ST, HIALEAH, FL 33016-2032

Taxonomy

Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
349189
LA
207ZD0900X
Dermatopathology (Pathology) Physician
6061870
ID
207ZD0900X
Dermatopathology (Pathology) Physician
A186364
CA
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
ME153559
FL

Other

Enumeration date
04/04/2017
Last updated
12/09/2025
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