Organization
G & G MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUANA ELIZABETH GONZALEZ (MEDICAL PRACTICE ADMINISTRATOR)
(407) 343-4700
Entity
Organization
Contact information
Practice address
1132 CYPRESS GLEN CIR, KISSIMMEE, FL 34741-7559
(407) 343-4700
(407) 343-8500
Mailing address
1132 CYPRESS GLEN CIR, KISSIMMEE, FL 34741-7559
(407) 343-4700
(407) 343-8500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME96322
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56280
BCBS PROVIDER NUMBER
FL
Enumeration date
01/02/2007
Last updated
05/05/2016
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