Organization
ORTHOPAEDIC CENTER OF VENICE PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIO GONZALEZ M.D. (OWNER)
94148533302
Entity
Organization
Contact information
Practice address
241 NOKOMIS AVE S, SUITE B, VENICE, FL 34285-2319
(941) 485-3302
(941) 485-2673
Mailing address
241 NOKOMIS AVE S, SUITE B, VENICE, FL 34285-2319
(941) 485-3302
(941) 485-2673
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME61283
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35812
BCBS
FL
01
—
DB6741
RAILROAD MEDICARE
FL
Enumeration date
10/01/2007
Last updated
02/21/2008
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