Individual
DR. ANTONIO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
125 BOSTON AVE, IMMOKALEE, FL 34142-4017
(239) 658-3000
(239) 657-9600
Mailing address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN-248
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124940900
—
FL
Enumeration date
03/23/2006
Last updated
03/21/2025
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