Organization
KIDSVILLE PEDIATRICS IV, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCELIS I. GONZALEZ MEDICAL DOCTOR (CEO)
(407) 447-7773
Entity
Organization
Contact information
Practice address
11886 LAKE UNDERHILL RD, ORLANDO, FL 32825-4436
(407) 447-7773
(407) 447-7804
Mailing address
11886 LAKE UNDERHILL RD, ORLANDO, FL 32825-4436
(407) 447-7773
(407) 447-7804
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME-0074421
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274349300
—
FL
Enumeration date
10/12/2006
Last updated
08/13/2019
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