Organization
ALEX L GONZALES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX L GONZALES MD PA (PHYSICIAN AND OWNER OF PRACTICE)
(386) 758-6143
Entity
Organization
Contact information
Practice address
4251 NW AMERICAN LANE, STE 101, LAKE CITY, FL 32055-4881
(386) 758-6143
(386) 758-6046
Mailing address
4251 NW AMERICAN LANE, STE 101, LAKE CITY, FL 32055-4881
(386) 758-6143
(386) 758-6046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME61910
FL
Other
Enumeration date
08/07/2007
Last updated
08/25/2014
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