Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | ME96114 | FL |
N | 207QG0300X | Family Doctor - Geriatric Medicine | ME96114 | FL |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | ME96114 | FL |
NPI | 1730396896 |
---|---|
Provider Name | Dr. Maria Rosaida Gonzalez |
First Address | Orlando, FL 32803-1248 |
Second Address | Orlando, FL 32803 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 18/07/2018 |