Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | FL 0050008 | FL |
NPI | 1033102447 |
---|---|
Provider Name | Dr. Gabriel E Gonzalez |
First Address | Loxahatchee, FL 33470 |
Second Address | Loxahatchee, FL 33470-4940 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D50789 | (02) |