Gonzalez, Fernando

Gonzalez, Fernando is an individual health care provider with primary practice located at 4175 W 20Th Ave , Hialeah FL 33012-5874. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gonzalez, Fernando can be contacted via phone (305) 825-0300.

Contact Information

Primary practice address
4175 W 20Th Ave Hialeah FL 33012-5874
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME22761 Florida

Profile Details

NPI number 1568680775
LBN Legal business name Gonzalez, Fernando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Jul 8th, 2007 - about 17 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 1568680775 NPPES
Florida MEDICAID 055314000

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