Dr. Gonzalo A. Gonzalez M.D
Internal Medicine Physician in Tampa, FL(View on Map)
Full Name
Dr. Gonzalo A Gonzalez M.D
NPI Number
1053319699
NPI Type
Individual Provider
Gender
Male
Enumeration Date
07/08/2005
Specialties
(Taxonomies)Licenses
State
Florida
License Number
ME62211
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 2179
4543 S MANHATTAN AVE
City
Brandon
Tampa
State
FL
FL
Postal Code
33509-2179
33611-2330
Country
US
US
Telephone Number
(813) 661-1515
(855) 226-6633
Identifiers
Identifier
260463901
110215139
Identifier State
FL
FL
Identifier Issuer
Unknown
RR MEDICARE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/21/2024