Healthcare Provider Details

I. General information

NPI: 1558613000
Provider Name (Legal Business Name): PEDRO GONZALEZ AMARO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2012
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 NW 15TH ST STE 101
HOMESTEAD FL
33030-4267
US

IV. Provider business mailing address

1214 MARINER BLVD
SPRING HILL FL
34609-5657
US

V. Phone/Fax

Practice location:
  • Phone: 786-886-1030
  • Fax: 786-377-9629
Mailing address:
  • Phone: 352-277-5305
  • Fax: 352-616-0906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME136597
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: