Individual
ANCIZAR GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1600 NE 1ST AVE APT 3220, MIAMI, FL 33132-1280
(561) 281-8132
Mailing address
5975 SUNSET DR STE 402, SOUTH MIAMI, FL 33143-5198
(305) 669-2833
(305) 669-2840
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106499
FL
363A00000X
Physician Assistant
PAT9105709
FL
Other
Enumeration date
01/03/2011
Last updated
10/15/2020
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