Individual
ALFREDO E GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 N LAKEMONT AVE, SUITE 800, WINTER PARK, FL 32792-3208
(407) 645-2737
(407) 645-1082
Mailing address
201 N LAKEMONT AVE, SUITE 800, WINTER PARK, FL 32792-3208
(407) 645-2737
(407) 645-1082
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME67354
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
593369175
TAX ID
FL
Enumeration date
03/08/2007
Last updated
03/07/2013
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