Individual
DR. MANUEL OCTAVIO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6050 W 20TH AVE FL 3, HIALEAH, FL 33016-2605
(786) 584-5555
(786) 584-5050
Mailing address
6050 W 20TH AVE FL 3, HIALEAH, FL 33016-2605
(786) 584-5555
(786) 584-5050
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
262848
NY
207RG0100X
Gastroenterology Physician
Primary
ME138174
FL
Other
Enumeration date
02/12/2011
Last updated
05/05/2021
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