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NPI Code Detail

MEDICARE: PAUL J GONZALEZ MD PA

MEDICARE: PAUL J GONZALEZ MD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology PhysicianME67843FL

General Provider Information

NPI Number : 1396945226
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAUL J GONZALEZ MD PA
Provider Business Mailing Address
First Line : 3531 LITTLE RD
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34655-1811
Country : US
Telephone Number : 727-844-5404
Fax Number : 727-844-5425
Provider Business Practice Location Address
First Line : 3531 LITTLE RD
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34655-1811
Country : US
Telephone Number : 727-844-5404
Fax Number : 727-844-5425
Authorized Official
Title or Position : PRESIDENT
Name : DR. PAUL J GONZALEZ
Credential : MD
Telephone Number : 727-844-5404
Provider Enumeration Date : 07/19/2007
Last Update Date : 05/03/2013

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