Manuel Domenick Gonzalez in Tampa - Family

Manuel Domenick Gonzalez - NPI 1235261900

Manuel Domenick Gonzalez is a Family in Tampa, Florida. Manuel Domenick Gonzalez practices all healthcare services and medical treatments related to Family. The NPI Number for Manuel Domenick Gonzalez is 1235261900. The last update date is 2007-07-08.

Manuel Domenick Gonzalez's current location address is 4278 W Linebaugh Ave, Tampa, Florida. You can contact this provider via phone number 8139770733 and fax number 8139712230. The mailing address for Manuel Domenick Gonzalez is 4278 W Linebaugh Ave, Tampa, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Manuel Domenick Gonzalez
Address 4278 W Linebaugh Ave, Tampa, Florida
Phone Number 8139770733
Fax Number 8139712230
Sole Proprietor Y
Credentials ARNP

NPI Number Detail

NPI Number 1235261900
Provider Enumeration Date 2007-03-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4278 W Linebaugh Ave
City Tampa
State Florida (FL)
Post Code 336245241
Phone Number 8139770733
Fax Number 8139712230

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No ARNP 2908822
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ARNP 2908822 FL NURSE PRACTITIONER

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FAQs about Manuel Domenick Gonzalez

What is the Manuel Domenick Gonzalez's 1235261900?

The Manuel Domenick Gonzalez's NPI (National Provider Identifier) Number is 1235261900. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Manuel Domenick Gonzalez is geographically located?

The Manuel Domenick Gonzalez is physically situated at the following location: 4278 W Linebaugh Ave, Tampa, FL, 336245241.

What is Manuel Domenick Gonzalez's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Manuel Domenick Gonzalez is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.

When was the Manuel Domenick Gonzalez's 1235261900 issued?

The Manuel Domenick Gonzalez's 1235261900 was issued on 2007-03-09.

When was the information pertaining to Manuel Domenick Gonzalez most recently updated or revised?

The details related to Manuel Domenick Gonzalez, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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