Individual
DR. JOHN PAUL GONZALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 MEDICAL PARK DR STE 490, TAMPA, FL 33613-6600
(813) 971-2470
(813) 971-2491
Mailing address
3000 MEDICAL PARK DR STE 490, TAMPA, FL 33613-6600
(813) 971-2470
(813) 971-2491
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS8520
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269715700
—
FL
Enumeration date
08/18/2005
Last updated
05/19/2020
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