Luis E. Gonzalez MD
Diagnostic Radiology Physician in Palm Coast, FL(View on Map)
Full Name
Luis Enrique Gonzalez MD
NPI Number
1740712272
NPI Type
Individual Provider
Gender
Male
Enumeration Date
04/03/2017
Specialties
(Taxonomies)Code
2085R0202X
390200000X
Primary Taxonomy
Yes
No
Licenses
State
Florida
License Number
ME147779
Contact
Information
Purpose
Mailing
Location
Address
401 PALMETTO ST
60 MEMORIAL MEDICAL PKWY
City
New Smyrna Beach
Palm Coast
State
FL
FL
Postal Code
32168-7322
32164-5980
Country
US
US
Telephone Number
(386) 424-5140
(386) 586-2000
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
lgonzalez1748935@ehrdirect.mayoclinicmsg.org
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
4500 San Pablo Rd SJacksonville, FL322241865US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/01/2023
Provider Address
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