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Contact Information

NELSON GONZALEZ, MD
11045 SW 216 ST
MIAMI, FL33170
 Phone: 786-429-1639
 Fax: 786-883-0900
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for NELSON GONZALEZ · (Male)

NPI Number 1578759197
Status Active
Credentials MD
Entity Individual
Enumeration date 09/18/2007
Last updated 12/13/2022 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME101417
  • FL Medicaid 110070100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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