Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | ME73150 | FL |
NPI | 1043373988 |
---|---|
Provider Name | Dr. Ralph F Gonzalez |
First Address | King Of Prussia, PA 19406-3121 |
Second Address | Bradenton, FL 34205-8628 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 27/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
016522200 | (05) | FL |
H16945 | (02) | FL |