Individual
FLOYD GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
821 WALTER J LEEPER DR, SUITE 101, DE QUEEN, AR 71832-2591
(870) 642-8640
(870) 642-3516
Mailing address
821 WALTER J LEEPER DR, SUITE 101, DE QUEEN, AR 71832-2591
(870) 642-8640
(870) 642-3516
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
E1628
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100213340A
—
OK
01
—
100213340B
SOONERCARE
OK
05
—
133554001
—
AR
Enumeration date
07/20/2005
Last updated
04/19/2026
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