Tara Gonzalez M.D.
Family Medicine Physician in Port Orange, FL(View on Map)
Full Name
Tara Gonzalez M.D.
NPI Number
1831503010
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/16/2014
Specialties
(Taxonomies)Licenses
State
Florida
License Number
ME125379
Contact
Information
Purpose
Mailing
Location
Address
790 DUNLAWTON AVE STE E
790 DUNLAWTON AVE STE E
City
Port Orange
Port Orange
State
FL
FL
Postal Code
32127-4222
32127-4222
Country
US
US
Telephone Number
(386) 760-1877
(386) 760-1877
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/18/2024