Individual
DAINEYSY GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1600 SARNO RD, SUITE 15, MELBOURNE, FL 32935-4938
(800) 345-4565
(888) 468-6511
Mailing address
3100 W END AVE, SUITE 800, NASHVILLE, TN 37203-1320
(615) 345-5400
(888) 468-6511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109595
FL
363AM0700X
Medical Physician Assistant
PA9109595
FL
363AS0400X
Surgical Physician Assistant
PA9109595
FL
Other
Enumeration date
12/05/2016
Last updated
12/23/2016
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