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Contact Information

GUSTAVO A GONZALEZ JR, MD
801 S DOUGLAS RD
PEMBROKE PINES, FL33025-1355
 Phone: 954-985-1470
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for GUSTAVO A GONZALEZ JR · (Male)

NPI # 1447286257
Status Active
Credentials MD
Entity Individual
Enumeration date 06/23/2006
Last updated 03/14/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME67840
  • FL Medicaid 379098300
  • FL Other 27762 BLUE SHIELD
Hospital affiliation(s)
  • MEMORIAL HOSPITAL PEMBROKE - (Acute Care)
    7800 SHERIDAN ST
    PEMBROKE PINES, FL 33024
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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