Healthcare Provider Details

I. General information

NPI: 1700874625
Provider Name (Legal Business Name): FELIX J GONZALEZ MD,P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2510 SW 27TH AVE STE 101
MIAMI FL
33133-2164
US

IV. Provider business mailing address

PO BOX 557457
MIAMI FL
33255-7457
US

V. Phone/Fax

Practice location:
  • Phone: 786-703-7000
  • Fax: 786-703-7777
Mailing address:
  • Phone: 786-703-7000
  • Fax: 786-703-7777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberME0044692
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: