Healthcare Provider Details

I. General information

NPI: 1871841007
Provider Name (Legal Business Name): APRIL SMITH GONZALEZ PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2012
Last Update Date: 01/09/2020
Certification Date: 01/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5555 E MICHIGAN ST SUITE 103
ORLANDO FL
32822-2700
US

IV. Provider business mailing address

5555 E MICHIGAN ST SUITE 103
ORLANDO FL
32822-2700
US

V. Phone/Fax

Practice location:
  • Phone: 407-456-2977
  • Fax:
Mailing address:
  • Phone: 407-456-2977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS11034
License Number StateFL

VIII. Authorized Official

Name: DR. APRIL R SMITH-GONZALEZ
Title or Position: DOCTOR
Credential: D.O.
Phone: 407-456-2977