Fernando Gonzales-Portillo
Neurologist
6735 Conroy Rd Suite 229
Orlando
, Florida 32835
Fernando Gonzales-Portillo
Neurologist
6735 Conroy Rd Suite 229
Orlando
, Florida 32835
(407) 581-8659
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Fernando Gonzales-Portillo
- 6735 Conroy Rd Suite 229
- Orlando, FL
- Zip : 32835
- Fax : (407) 581-8659
- Phone : (407) 581-8640
Second Address
- Fernando Gonzales-Portillo
- 6735 Conroy Rd Suite 229
- Orlando, FL
- Zip : 32835
- Fax : (407) 581-8659
- Phone : (407) 581-8640
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2084N0400X | Neurologist | 29251 | AZ |
| Y | 2084N0400X | Neurologist | ME95934 | FL |
National Provider Identifier
| NPI | 1043284755 |
|---|---|
| Provider Name | Fernando Gonzales-Portillo |
| First Address | Orlando, FL 32835 |
| Second Address | Orlando, FL 32835 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/02/2006 |
| Last Update Date | 29/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 276495400 | (05) | FL |
| H49631 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.