Dr. Deborah Knudson Gonzalez MD
Psychiatry Physician in Tampa, FL(View on Map)
Full Name
Dr. Deborah Knudson Gonzalez MD
NPI Number
1104016633
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/31/2007
Specialties
(Taxonomies)Licenses
State
Florida
License Number
ME131782
Contact
Information
Purpose
Mailing
Location
Address
809 S FREMONT AVE
3515 E FLETCHER AVE # MDC14
City
Tampa
Tampa
State
FL
FL
Postal Code
33606-2814
33613-4706
Country
US
US
Telephone Number
(813) 409-1729
(813) 974-8900
Identifiers
Identifier
021751700
T280A
Identifier State
FL
FL
Identifier Issuer
Unknown
BLUE CROSS BLUE SHIELD
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
dknudsongonzalez133131@direct.tgh.org
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
3515 E Fletcher Ave # Mdc14Tampa, FL336134706US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/31/2021
Provider Address
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