Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | ME0027427 | FL |
NPI | 1225190432 |
---|---|
Provider Name | Francisco C Gonzalez-Abreu |
First Address | Miami, FL 33125-1673 |
Second Address | Miami, FL 33125-1673 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002208 | AVMED PROVIDER NUMBER (01) | FL |
E-14545 | (02) | FL |