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Individual

DR. GONZALO HUAMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1403 MEDICAL PLAZA DR, SUITE 101, SANFORD, FL 32771-1000
(407) 322-0090
(407) 321-3783
Mailing address
1403 MEDICAL PLAZA DR, SUITE 101, SANFORD, FL 32771-1000
(407) 322-0090
(407) 321-3783

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME11457
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
045559800
FL
Enumeration date
10/11/2005
Last updated
02/08/2018
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