Individual
DR. MARCO TULIO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 NW 42ND AVE, PLANTATION, FL 33317-2835
(954) 587-5010
Mailing address
PO BOX 17540, PLANTATION, FL 33318-7540
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME65503
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
50288
AZ
2080N0001X
Neonatal-Perinatal Medicine Physician
ME65503
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379025800
—
FL
Enumeration date
12/22/2005
Last updated
05/29/2025
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