Individual
ERNEST GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 ZEAGLER DR, SUITE 600, PALATKA, FL 32177-3867
(386) 328-9484
(386) 328-6569
Mailing address
800 ZEAGLER DR, SUITE 600, PALATKA, FL 32177
(386) 328-9484
(386) 328-6569
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME38861
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066796000
—
FL
Enumeration date
06/07/2006
Last updated
08/03/2009
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