Organization
JOSE M GONZALEZ-CANAL P A
Active
Other names
Jose M Gonzalez-Canal P A
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE M GONZALEZ-CANAL MD (PRESIDENT)
(941) 764-0444
Entity
Organization
Contact information
Practice address
3390 TAMIAMI TRAIL, SUITE 104, PORT CHARLOTTE, FL 33952-8161
(941) 764-0444
(941) 764-0774
Mailing address
PO BOX 510276, PUNTA GORDA, FL 33951-0276
(941) 764-0444
(941) 764-0774
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0068859
FL
Other
Enumeration date
01/17/2007
Last updated
06/26/2008
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