Organization
EVIDENCE BASE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GONZALO GONZALEZ MD (DIRECTOR)
(954) 967-4795
Entity
Organization
Contact information
Practice address
5920 JOHNSON ST, SUITE 108, HOLLYWOOD, FL 33021-5652
(954) 967-4795
Mailing address
5920 JOHNSON ST, SUITE 108, HOLLYWOOD, FL 33021-5652
(954) 967-4795
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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