MEDICARE: F. JORGE GONZALEZ, MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician

General Provider Information

NPI Number	:	1144490301
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	F. JORGE GONZALEZ, MD PA

Provider Business Mailing Address
First Line	:	3100 CLAY AVE
Second Line	:	SUITE 299
City	:	ORLANDO
State	:	FL
Zip	:	32804-4026
Country	:	US
Telephone Number	:	407-447-1628
Fax Number	:

Provider Business Practice Location Address
First Line	:	3100 CLAY AVE
Second Line	:	SUITE 299
City	:	ORLANDO
State	:	FL
Zip	:	32804-4026
Country	:	US
Telephone Number	:	407-447-1628
Fax Number	:

Authorized Official
Title or Position	:	PLASTIC SURGEON
Name	:	DR. FLORENCIO JORGE GONZALEZ
Credential	:	M.D
Telephone Number	:	407-447-1628

Provider Enumeration Date	:	03/04/2008
Last Update Date	:	03/04/2008

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