Individual
FELIX ARMANDO GONZALEZ-QUEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6550 N FEDERAL HWY, SUITE 512, FT LAUDERDALE, FL 33308-1404
(954) 267-8777
(954) 772-7801
Mailing address
8940 SW 67TH AVE, PINECREST, FL 33156-1708
(305) 215-9033
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 9100805
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2930137 00
—
FL
01
—
U1096Y
MEDICARE PTAN
FL
Enumeration date
08/04/2006
Last updated
03/09/2020
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