Fidel Gonzalez is a Medical in Davie, Florida. Fidel Gonzalez practices all healthcare services and medical treatments related to Medical. The NPI Number for Fidel Gonzalez is 1114021698. The last update date is 2007-07-08.
Fidel Gonzalez's current location address is 4121 Sw 141st Ave, Davie, Florida. You can contact this provider via phone number 3053244455 and fax number 3055753161. The mailing address for Fidel Gonzalez is 4121 Sw 141st Ave, Davie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fidel Gonzalez |
|---|---|
| Address | 4121 Sw 141st Ave, Davie, Florida |
| Phone Number | 3053244455 |
| Fax Number | 3055753161 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1114021698 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4121 Sw 141st Ave |
|---|---|
| City | Davie |
| State | Florida (FL) |
| Post Code | 333305723 |
| Phone Number | 3053244455 |
| Fax Number | 3055753161 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA2112 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the Fidel Gonzalez's unique identification number?
The Fidel Gonzalez has been assigned the NPI (National Provider Identifier) Number 1114021698 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Fidel Gonzalez is located?
The Fidel Gonzalez is situated at the following address: 4121 Sw 141St Ave, Davie, FL, 333305723.
What is Fidel Gonzalez's area of expertise and its corresponding taxonomy classification?
The Fidel Gonzalez's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114021698 to Fidel Gonzalez?
The Centers for Medicare & Medicaid Services originally issued the 1114021698 to Fidel Gonzalez on 2006-09-12.
When was the information related to Fidel Gonzalez most recently updated or refreshed?
The details pertaining to the Fidel Gonzalez, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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