Individual
LEO T. GONZALES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
8383 N DAVIS HWY, PENSACOLA, FL 32514-6039
(850) 494-6560
Mailing address
PO BOX 95390, NEW ORLEANS, LA 70195-5390
(850) 494-6560
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME74826
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42802
BCBS PROVIDER NUMBER
FL
Enumeration date
04/03/2006
Last updated
07/09/2007
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