Organization
MEDASANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEGUNDO GONZALEZ MD (OFFICER)
(754) 200-1617
Entity
Organization
Contact information
Practice address
7100 CAMINO REAL STE 200, BOCA RATON, FL 33433-5510
(754) 200-1617
(954) 656-0108
Mailing address
304 INDIAN TRCE # 976, WESTON, FL 33326-2996
(754) 200-1617
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086X0206X
Surgical Oncology Physician
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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