Individual
MRS. MARISELA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7171 CORAL WAY SUITE 201, MIAMI, FL 33155
(305) 220-3700
(305) 220-9002
Mailing address
7171 CORAL WAY SUITE 201, MIAMI, FL 33155
(305) 220-3700
(305) 220-9002
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME59833
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053060301
—
FL
Enumeration date
06/28/2006
Last updated
10/22/2021
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