Individual
DR. AMY GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13670 WALSINGHAM RD, LARGO, FL 33774-3532
(727) 593-9848
(727) 596-4532
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4943
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME132550
FL
207Q00000X
Family Medicine Physician
MT206885
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022252700
—
FL
Enumeration date
05/19/2014
Last updated
07/21/2022
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