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1043901887 NPI number — CATHERINE MARIA GONZALEZ OD

NPI Number: 1043901887
Health Care Provider/Practitioner: CATHERINE MARIA GONZALEZ OD

Information about “1043901887” NPI (CATHERINE MARIA GONZALEZ OD) exists in 1043901887 in HTML format HTML  |  1043901887 in plain Text format TXT  |  1043901887 in PDF (Portable Document Format) PDF  |  1043901887 in an XML format XML  formats.

NPI Number : 1043901887 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043901887",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GONZALEZ",
    "FirstName": "CATHERINE",
    "MiddleName": "MARIA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8212 ABALONE LOOP",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PARRISH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34219-1749",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "973-903-8507",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1725 W DR MARTIN LUTHER KING JR BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TAMPA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33607-6507",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "727-369-0043",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/15/2023",
    "LastUpdateDate": "07/27/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "OPC6269",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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