Healthcare Provider Details

I. General information

NPI: 1922426493
Provider Name (Legal Business Name): ARMANDO GONZALEZ DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2014
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 SW 33RD RD
OCALA FL
34474-7458
US

IV. Provider business mailing address

5760 10TH AVE N
ST PETERSBURG FL
33710-6432
US

V. Phone/Fax

Practice location:
  • Phone: 352-351-4444
  • Fax: 352-351-4920
Mailing address:
  • Phone: 727-384-1111
  • Fax: 727-384-1112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO3880
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: