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Individual

RAQUEL M GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5385 NE 2ND AVE, MIAMI, FL 33137-2707
(305) 756-9977
(305) 756-5757
Mailing address
5801 MIAMI LAKES DR E, MIAMI LAKES, FL 33014-2401
(305) 821-9115

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0060686
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
253491600
FL
Enumeration date
10/11/2005
Last updated
08/18/2016
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