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Organization

ERNEST GONZALEZ

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERNEST GONZALEZ MD (PHYSICIAN)
(386) 328-9484
Entity
Organization

Contact information

Practice address
800 ZEAGLER DR, SUITE600, PALATKA, FL 32177-3867
(386) 328-9484
(386) 328-6569
Mailing address
800 ZEAGLER DR, SUITE600, PALATKA, FL 32177-3867
(386) 328-9484
(386) 328-6569

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0038861
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
373443900
FL
Enumeration date
04/23/2007
Last updated
08/05/2009
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