Organization
E. GONZALEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. E GONZALEZ MD PA (OWNER/DOCTOR)
(239) 275-5339
Entity
Organization
Contact information
Practice address
4755 SUMMERLIN RD STE 8, FORT MYERS, FL 33919-1073
(239) 275-5339
(239) 275-5592
Mailing address
4755 SUMMERLIN RD STE 8, FORT MYERS, FL 33919-1073
(239) 275-5339
(239) 275-5592
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036797400
—
FL
Enumeration date
01/07/2011
Last updated
01/07/2011
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