Individual
FERNANDO CELSO GONZALEZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3040 SW 11TH ST, MIAMI, FL 33135-4708
(305) 502-7061
Mailing address
3040 SW 11TH ST, MIAMI, FL 33135-4708
(305) 502-7061
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
26-220
FL
363A00000X
Physician Assistant
Primary
3047
PR
363AM0700X
Medical Physician Assistant
3047
PR
363AS0400X
Surgical Physician Assistant
3047
PR
Other
Enumeration date
04/28/2026
Last updated
05/04/2026
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