Organization
GONZALO MOSQUERA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GONZALO MOSQUERA (MEDICAL DOCTOR)
(407) 429-7007
Entity
Organization
Contact information
Practice address
6809 S KIRKMAN RD, 6809 SOUTH KIRKMAN ROAD, ORLANDO, FL 32819-9341
(407) 429-7007
Mailing address
6809 S KIRKMAN RD, 6809 SOUTH KIRKMAN ROAD, ORLANDO, FL 32819-9341
(407) 429-7007
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME0071342
FL
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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