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1114021698
FIDEL GONZALEZ
MIAMI, FL
NPI
1114021698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA2112)
Enumeration Date
2006-09-12
Last Update Date
2007-07-08
Business Address
Mr. FIDEL GONZALEZ PA-C
1201 NW 16TH ST
MIAMI, FL 33125-1624
Phone number: 305-324-4455
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Mailing Address
Mr. FIDEL GONZALEZ PA-C
4121 SW 141ST AVE
DAVIE, FL 33330-5723
Phone number: 305-324-4455
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