Individual
ARIEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5964 US HIGHWAY 90, LIVE OAK, FL 32060
(386) 963-6685
(386) 963-6377
Mailing address
1739 SW 67TH CIR, GAINESVILLE, FL 32607
(651) 600-6198
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
023893
PR
208D00000X
General Practice Physician
Primary
ACN1652
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2019
Last updated
09/13/2024
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