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Juan Jose Candelario Gonzalez, MD
Student in an Organized Health Care Education/Training Program in Temple Terrace, Florida
NPI 1881971885

Juan Jose Candelario Gonzalez is a Student in an Organized Health Care Education/Training Program based in Temple Terrace, FL. Juan Jose Candelario Gonzalez practices in Temple Terrace, FL and has the professional credentials of MD. The NPI Number for Juan Jose Candelario Gonzalez is 1881971885 and holds a License No. ME130303 (Florida).

The current practice location address for Juan Jose Candelario Gonzalez is 11531 N 56Th St, Temple Terrace, FL and can be reached out via phone at 813-999-4963.

Location: 11531 N 56Th St, Temple Terrace, FL, 33617-2238
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881971885
Provider Name
Juan Jose Candelario Gonzalez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11531 N 56Th St, Temple Terrace, FL, 33617-2238
Phone Number
813-999-4963
Fax Number
Provider Enumeration Date
11/04/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11531 N 56Th St
City
Temple Terrace
State
Florida
Zip
33617-2238
Phone Number
813-999-4963
Fax Number
person
Provider Business Mailing Address Details
Address
11531 N 56Th St
City
Temple Terrace
State
Florida
Zip
33617-2238
Phone Number
813-999-4963
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
29075 ()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
ME130303 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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