Individual
SUSANNE GONZALEZ-GALLARDO
Active
Individual
SUSANNE GONZALEZ-GALLARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
ME125000
FL
2084N0400X
Neurology Physician
Primary
R8903
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015459800
—
FL
05
—
392315301
—
TX
Enumeration date
04/13/2010
Last updated
03/26/2019
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