Miguel A Gonzalez M.D. P.A

LBN: Miguel A Gonzalez M.D. P.A
Miguel A Gonzalez M.D. P.A is an health care organization with primary practice located at 401 Se 16Th St , Fort Lauderdale FL 33316-2529. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Miguel A Gonzalez M.D. P.A can be contacted via phone (954) 523-8108, or through Gonzalez, Miguel Angel via phone (954) 523-8108.

Contact Information

Primary practice address
401 Se 16Th St Fort Lauderdale FL 33316-2529
Phone: (954) 523-8108
Fax: (954) 525-9828
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, Miguel Angel Doctor of Medicine (MD)
Phone: (954) 523-8108

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 24288 Florida

Profile Details

NPI number 1902163801
LBN Legal business name Miguel A Gonzalez M.D. P.A
DBA Doing business as
Authorized official Gonzalez, Miguel Angel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2012
Last updated Apr 16th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902163801 NPPES
Florida MEDICAID 035917300

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