Individual
DR. GONZALO A AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., P.A.
Contact information
Practice address
580 W 8TH ST STE 6001, JACKSONVILLE, FL 32209-6533
(904) 244-9995
(904) 244-9007
Mailing address
580 W 8TH ST STE 6001, JACKSONVILLE, FL 32209-6533
(904) 244-9995
(904) 244-9007
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME003390
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15541
BLUE CROSS BLUE SHIELD
FL
01
—
210260
HEALTHEASE
FL
01
—
216677
AVMED
FL
Enumeration date
07/13/2006
Last updated
07/08/2007
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