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Organization

C F GONZALEZ MD PA

Active
Other names
Sugarmill Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
CARLOS F GONZALEZ MD (MD PRESIDENT)
(352) 382-8282
Entity
Organization

Contact information

Practice address
7991 S SUNCOAST BLVD, HOMOSASSA, FL 34446
(352) 382-8282
(352) 382-2289
Mailing address
PO BOX 3749, HOMOSASSA SPRINGS, FL 34447
(352) 382-8282
(352) 382-2289

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
049771100
FL
01
45107
BC/BS FLORIDA
FL
Enumeration date
08/07/2006
Last updated
06/11/2008
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