Justo Gonzalez is a Specialist in Titusville, Florida. Justo Gonzalez practices all healthcare services and medical treatments related to Specialist. The NPI Number for Justo Gonzalez is 1639204019. The last update date is 2022-02-01.
Justo Gonzalez's current location address is 4420 S Hopkins Ave, Titusville, Florida. You can contact this provider via phone number 3212684693 and fax number 3212684696. The mailing address for Justo Gonzalez is 4420 S Hopkins Ave, Titusville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justo Gonzalez |
|---|---|
| Address | 4420 S Hopkins Ave, Titusville, Florida |
| Phone Number | 3212684693 |
| Fax Number | 3212684696 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1639204019 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2022-02-01 |
Provider Mailing Address Detail
| Address | 4420 S Hopkins Ave |
|---|---|
| City | Titusville |
| State | Florida (FL) |
| Post Code | 327806690 |
| Phone Number | 3212684693 |
| Fax Number | 3212684696 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME67177 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2716968-00 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Justo Gonzalez by the Centers for Medicare & Medicaid Services?
The Justo Gonzalez has been issued the NPI (National Provider Identifier) 1639204019 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Justo Gonzalez is physically located?
The Justo Gonzalez is situated at the following address: 4420 S Hopkins Ave, Titusville, FL 327806690.
What is Justo Gonzalez's specialized field of practice, and what is the corresponding taxonomy classification code?
The Justo Gonzalez's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Justo Gonzalez receive its 1639204019 assignment from the Centers for Medicare & Medicaid Services?
The Justo Gonzalez was assigned its 1639204019 by the Centers for Medicare & Medicaid Services on 2007-02-23.
As of what date were the details pertaining to Justo Gonzalez last refreshed?
The information related to the Justo Gonzalez, including its address, specialty, and other relevant details, was last updated on 2022-02-01.