Leopoldo B Gonzalez Md Pa in St Augustine - Surgery
Leopoldo B Gonzalez Md Pa - NPI 1417103045
Leopoldo B Gonzalez Md Pa is a Surgery in St Augustine, Florida. Leopoldo B Gonzalez Md Pa practices all healthcare services and medical treatments related to Surgery. The NPI Number for Leopoldo B Gonzalez Md Pa is 1417103045. The last update date is 2009-02-18.
Leopoldo B Gonzalez Md Pa's current location address is 301 Health Park Blvd, St Augustine, Florida. You can contact this provider via phone number 9048244277 and fax number 9048244490. The mailing address for Leopoldo B Gonzalez Md Pa is 301 Health Park Blvd, St Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Leopoldo B Gonzalez Md Pa |
|---|---|
| Address | 301 Health Park Blvd, St Augustine, Florida |
| Phone Number | 9048244277 |
| Fax Number | 9048244490 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gonzalez B Leopoldo |
| Credentials | MDPA |
| Telephone Number | 9048244277 |
NPI Number Detail
| NPI Number | 1417103045 |
|---|---|
| Provider Enumeration Date | 2008-08-14 |
| Last Updated Date | 2009-02-18 |
Provider Mailing Address Detail
| Address | 301 Health Park Blvd |
|---|---|
| City | St Augustine |
| State | Florida (FL) |
| Post Code | 320865793 |
| Phone Number | 9048244277 |
| Fax Number | 9048244490 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | ME0022097 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 54187700 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Leopoldo B Gonzalez Md Pa?
The Leopoldo B Gonzalez Md Pa has been issued the NPI (National Provider Identifier) 1417103045 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Leopoldo B Gonzalez Md Pa is geographically located?
The Leopoldo B Gonzalez Md Pa is physically situated at the following location: 301 Health Park Blvd, St Augustine, FL, 320865793.
What is Leopoldo B Gonzalez Md Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Leopoldo B Gonzalez Md Pa's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417103045 to Leopoldo B Gonzalez Md Pa?
The Centers for Medicare & Medicaid Services originally issued the 1417103045 to Leopoldo B Gonzalez Md Pa on 2008-08-14.
As of what date were the details pertaining to Leopoldo B Gonzalez Md Pa last refreshed?
The information related to the Leopoldo B Gonzalez Md Pa, including its address, specialty, and other relevant details, was last updated on 2009-02-18.