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General NPI Number Information
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NPI Number | 1295891893
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Entity Type | Organization
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Legal Business Name | AIMEE GONZALEZ M D P A
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1027 TOWN CENTER DR.
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City | ORANGE CITY
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State | FL
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Zip | 32763
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Country | US
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Telephone | 386-456-1200
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Fax | 386-456-1200
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Provider Business Mailing Address
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Address Line | 1027 TOWN CENTER DR.
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City | ORANGE CITY
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State | FL
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Zip | 32763
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Country | US
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Telephone | 386-456-1200
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Fax | 386-456-1200
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AIMEE GONZALEZ
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Credential | M D
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Telephone | 386-456-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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