Individual
JEFF OSCAR GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2140 W 68TH ST, SUITE 300, HIALEAH, FL 33016-1815
(305) 822-4108
(305) 822-5086
Mailing address
2140 W 68TH ST, SUITE 305, HIALEAH, FL 33016-1815
(305) 822-4108
(786) 497-2989
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME87096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01017
BC/BS
FL
05
—
267035600
—
FL
Enumeration date
11/10/2005
Last updated
06/26/2012
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