Individual
IGNACIO GONZALEZ-GOMEZ
Active
Individual
IGNACIO GONZALEZ-GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0213X
Pediatric Pathology Physician
Primary
ME104028
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000782800
—
FL
05
—
00A670490
—
CA
01
—
1454H
BLUE CROSS/BLUE SHIELD
FL
01
—
1981246
CIGNA
FL
01
—
294635
STAYWELL/HEALTHEASE
FL
01
—
331553
AVMED
FL
01
—
7913502
AETNA
FL
Enumeration date
09/21/2006
Last updated
03/03/2010
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