institution
Miguel A Gonzalez M.d. P.a
Health Service Clinic/Center in Fort Lauderdale, Florida
NPI 1902163801

Miguel A Gonzalez M.d. P.a is a Health Service Clinic/Center based in Fort Lauderdale, FL and is specialized in Health Service. Miguel A Gonzalez M.d. P.a practices in Fort Lauderdale, FL. The NPI Number for Miguel A Gonzalez M.d. P.a is 1902163801 and holds a License No. 24288 (Florida).

The current practice location address for Miguel A Gonzalez M.d. P.a is 401 Se 16Th St, Fort Lauderdale, FL and can be reached out via phone at 954-523-8108 and via fax at 954-525-9828.

Location: 401 Se 16Th St, Fort Lauderdale, FL, 33316-2529
institution
Provider Profile Details
NPI Number
1902163801
Provider Name
Miguel A Gonzalez M.d. P.a
Credential
Provider Entity Type
Organization
Address
401 Se 16Th St, Fort Lauderdale, FL, 33316-2529
Phone Number
954-523-8108
Fax Number
954-525-9828
Provider Enumeration Date
04/16/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
035917300 05 FL
institution
Provider Business Practice Location Address Details
Address
401 Se 16Th St
City
State
Zip
33316-2529
Phone Number
954-523-8108
Fax Number
954-525-9828
person
Provider Business Mailing Address Details
Address
401 Se 16Th St
City
State
Zip
33316-2529
Phone Number
954-523-8108
Fax Number
954-525-9828
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
24288 (Florida)
Definition
Definition to come...
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