Individual
EMILIO LUIS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8400 NW 33RD ST, SUIT 201, DORAL, FL 33122-1937
(786) 408-8502
(305) 921-7355
Mailing address
8400 NW 33RD ST, SUIT 201, DORAL, FL 33122-1937
(786) 408-8502
(305) 921-7355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 108178
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002791500
—
FL
Enumeration date
10/04/2010
Last updated
04/11/2017
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