Individual
DR. RICHARD GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
232 N ORANGE BLOSSOM TRL, ORLANDO, FL 32805-1612
(407) 428-5751
(407) 428-6204
Mailing address
232 N ORANGE BLOSSOM TRL, ORLANDO, FL 32805-1612
(407) 428-5751
(407) 428-6204
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS4666
FL
2080A0000X
Pediatric Adolescent Medicine Physician
OS4666
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254597700
—
FL
Enumeration date
09/29/2006
Last updated
07/30/2020
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