Gonzalez, Miguel Angel

Gonzalez, Miguel Angel is an individual health care provider with primary practice located at 401 Se 16Th St , Ft Lauderdale FL 33316-2529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Gonzalez, Miguel Angel can be contacted via phone (954) 523-8108.

Contact Information

Primary practice address
401 Se 16Th St Ft Lauderdale FL 33316-2529
Phone: (954) 523-8108
Fax: (954) 525-9828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME24288 Florida

Profile Details

NPI number 1154323640
LBN Legal business name Gonzalez, Miguel Angel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated May 20th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154323640 NPPES
Florida MEDICAID 035917300

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