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NPI Code Detail

MEDICARE: GONZALEZ & CASTELLANOS, M.D., P.A.

MEDICARE: GONZALEZ & CASTELLANOS, M.D., P.A.
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
1174400000XSpecialist

General Provider Information

NPI Number : 1447285606
Entity Type Code : Organization
Provider Name (Legal Business Name) : GONZALEZ & CASTELLANOS, M.D., P.A.
Provider Business Mailing Address
First Line : 2387 W 68TH ST
Second Line : SUITE #304
City : HIALEAH
State : FL
Zip : 33016-6816
Country : US
Telephone Number : 305-824-3604
Fax Number : 305-826-1300
Provider Business Practice Location Address
First Line : 2387 W 68TH ST
Second Line : SUITE #304
City : HIALEAH
State : FL
Zip : 33016-6816
Country : US
Telephone Number : 305-824-3604
Fax Number : 305-826-1300
Authorized Official
Title or Position : PRESIDENT
Name : DR. GERARDO ARMANDO GONZALEZ
Credential : M.D.
Telephone Number : 305-824-3604
Provider Enumeration Date : 07/12/2006
Last Update Date : 10/16/2009

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