Individual
DR. AIDA GONZALEZ JUNCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12300 SW 2 ST, PLANTATION, FL 33325
(954) 472-8587
Mailing address
12300 SW 2 ST, PLANTATION, FL 33325
(954) 610-1720
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME 42310
FL
207Q00000X
Family Medicine Physician
Primary
ME42310
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266141100
—
FL
Enumeration date
06/01/2006
Last updated
12/19/2014
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