Individual
DR. ALEXIS ROBERTO GONZALEZ VALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1931 S NARCOOSSEE RD, SAINT CLOUD, FL 34771-7211
(407) 986-9642
(407) 593-6102
Mailing address
425 W COLONIAL DR STE 303, ORLANDO, FL 32804-6863
(321) 332-6947
(407) 286-4515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ACN1234
FL
208D00000X
General Practice Physician
21503
PR
208D00000X
General Practice Physician
Primary
ACN1234
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107646400
—
FL
01
—
FG8609503
GENERAL PRACTICE
FL
Enumeration date
07/19/2019
Last updated
07/28/2025
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