Organization
EGONZ, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELMA GONZALEZ (CEO)
(954) 297-6231
Entity
Organization
Contact information
Practice address
14359 MIRAMAR PKWY, SUITE 332, MIRAMAR, FL 33027-4134
(954) 297-6231
Mailing address
14359 MIRAMAR PKWY, SUITE 332, MIRAMAR, FL 33027-4134
(954) 297-6231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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