MEDICARE: DR. MANUEL GONZALEZ-PEREZ M.D.

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	207X00000X	Orthopaedic Surgery Physician	ME 53317	FL

General Provider Information

NPI Number	:	1962481192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANUEL GONZALEZ-PEREZ M.D.

Provider Business Mailing Address
First Line	:	631 PALM SPRINGS DR STE 108
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-7854
Country	:	US
Telephone Number	:	321-594-5801
Fax Number	:	321-594-5802

Provider Business Practice Location Address
First Line	:	631 PALM SPRINGS DR STE 108
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-7854
Country	:	US
Telephone Number	:	321-594-5801
Fax Number	:	321-594-5802

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. MANUEL GONZALEZ-PEREZ M.D.” Practice Location

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