Gonzalez, Fanny

Gonzalez, Fanny is an sole proprietor health care provider with primary practice located at 2525 Sw 3Rd Ave Unit Cu-1, Miami FL 33129-2056. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is her primary health care specialty. Gonzalez, Fanny can be contacted via phone (305) 856-7005.

Contact Information

Primary practice address
2525 Sw 3Rd Ave Unit Cu-1 Miami FL 33129-2056
Phone: (305) 856-7005
Fax: (305) 856-7533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME106001 Florida
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X ME106001 Florida

Profile Details

NPI number 1265642581
LBN Legal business name Gonzalez, Fanny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Jul 25th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265642581 NPPES
Florida MEDICAID 002182200

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