Individual
JAVIER GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12905 SW 42ND ST STE 213, MIAMI, FL 33175-2912
(786) 507-8830
Mailing address
12905 SW 42ND ST STE 213, MIAMI, FL 33175-2912
(786) 507-8830
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
107787
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
107787
FL
207RP1001X
Pulmonary Disease Physician
Primary
107787
FL
Other
Enumeration date
05/21/2010
Last updated
12/15/2014
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