Individual
DR. FERNANDO GONZALEZ VERGARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
8050 N UNIVERSITY DR STE 101, TAMARAC, FL 33321-2102
(954) 532-5160
(954) 998-7307
Mailing address
8050 N UNIVERSITY DR STE 101, TAMARAC, FL 33321-2102
(954) 532-5160
(954) 998-7307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28250
PR
207R00000X
Internal Medicine Physician
Primary
ME114208
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME114208
MEDICAL LICENCE
FL
Enumeration date
09/30/2010
Last updated
05/24/2023
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