Individual
DR. JOSE E GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14100 58TH ST N, CLEARWATER, FL 33760-9900
(727) 824-8181
Mailing address
14100 58TH ST N, CLEARWATER, FL 33760-9900
(727) 824-8181
(407) 343-2002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN11984
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073302400
—
FL
01
—
SP200
MEDICARE
FL
Enumeration date
08/03/2005
Last updated
08/13/2024
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