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Individual

MR. EDWIN GONZALEZ-NAVEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3140 NW MEDICAL CENTER LN, SUITE 120, LAKE CITY, FL 32055-4717
(386) 755-6682
(386) 755-6796
Mailing address
3140 NW MEDICAL CENTER LN, SUITE 120, LAKE CITY, FL 32055-4717
(386) 755-6682
(386) 755-6796

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME92298
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
271874000
FL
Enumeration date
09/08/2005
Last updated
10/03/2007
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