Individual
DR. CANDACE ELISE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17 DAVIS BLVD, SUITE 308, TAMPA, FL 33606-3475
(813) 259-8510
Mailing address
17 DAVIS BLVD, SUITE 308, TAMPA, FL 33606-3475
(813) 250-2506
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME149641
FL
Other
Enumeration date
04/11/2016
Last updated
05/27/2021
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