Individual provider · Type 1 NPI

Fidel Gonzalez, PA-C

Medical Physician Assistant · Miami, FL

NPI number 1114021698 Active

Practice location

1201 NW 16th St
Miami, FL 33125-1624

Fax (305) 575-3161

Mailing address

4121 SW 141st Ave
Davie, FL 33330-5723

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA2112 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1114021698

Fidel Gonzalez, PA-C's National Provider Identifier is 1114021698, issued on Sep 12, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Miami, FL. The record was last updated on Jul 8, 2007.