Organization
LAKE ARTHRITIS CENTER P A
Active
Organization
LAKE ARTHRITIS CENTER P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL A GONZALES MD (OWNER)
(352) 314-2999
Entity
Organization
Contact information
Practice address
33025 PROFESSIONAL DRIVE, LEESBURG, FL 34788
(352) 314-2999
(352) 314-2666
Mailing address
PO BOX 491300, LEESBURG, FL 34749-1300
(352) 314-2999
(352) 314-2666
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
06/08/2009
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