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General NPI Number Information
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NPI Number | 1245230259
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Entity Type | Individual
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Provider Name | EVELYN GONZALEZ-ORTIZ MD
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Gender | Female
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Dates
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Enumeration Date | 08/01/2005
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 1111 NE 25TH AVE STE 301
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City | OCALA
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State | FL
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Zip | 34470-5667
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Country | US
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Telephone | 352-351-7000
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Fax | 352-236-8610
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Provider Business Mailing Address
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Address Line | 601 S HARBOUR ISLAND BLVD STE 200
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City | TAMPA
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State | FL
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Zip | 33602-5925
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Country | US
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Telephone | 800-480-5243
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Fax | 800-928-7449
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 9757
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 9757
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN703
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License Number State | FL
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