Individual
DR. JORGE ANTONIO GONZALEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 W COMMERCIAL BLVD STE 101, FORT LAUDERDALE, FL 33309-3424
(954) 751-6990
(954) 751-6991
Mailing address
3333 W COMMERCIAL BLVD STE 101, FORT LAUDERDALE, FL 33309-3424
(954) 751-6990
(954) 751-6991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME128315
FL
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
ME128315
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017619600
—
FL
Enumeration date
03/20/2013
Last updated
03/17/2022
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