Individual
EVELYN EXPOSITO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11420 N 56TH ST, TEMPLE TERRACE, FL 33617-2237
(813) 971-3136
Mailing address
11420 N 56TH ST, TEMPLE TERRACE, FL 33617-2237
(813) 971-3136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME167466
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2021
Last updated
10/14/2024
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