Individual
MR. FRANCISCO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1002 S DILLARD ST STE 102, WINTER GARDEN, FL 34787-3991
(407) 877-3577
Mailing address
1002 S. DILLARD STREET, WINTER GARDEN, FL 34787
(407) 877-3577
(407) 877-8495
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9100627
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04166641
EDUCATIONAL COMMISSION FOR FOREIGN MEDICAL GRADUATE CERTIFICATION
FL
01
—
169181
FELLOW SHIP IN PROGRESS METABOLIC AND NUTRITIONAL MEDICINE
FL
01
—
539442194
AMERICAN DIABETES ASSOCIATION
FL
01
—
9100627
PA, LICENSE
FL
01
—
ME26402800100
AMA
FL
Enumeration date
09/20/2007
Last updated
11/17/2015
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