Individual
DR. JUAN MANUEL GONZALEZ HERRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2771 EXECUTIVE PARK DR STE 1, WESTON, FL 33331-3643
(754) 348-3899
(888) 571-6330
Mailing address
2771 EXECUTIVE PARK DR STE 1, WESTON, FL 33331-3643
(754) 348-3899
(888) 571-6330
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
239550
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110084121A
—
MA
Enumeration date
03/30/2009
Last updated
02/26/2025
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