Individual provider · Type 1 NPI
Raul A. Gonzalez, PA
Surgical Physician Assistant · Pembroke Pines, FL
NPI number
1679618458
Active
Practice location
446 SW 191st Ter
Pembroke Pines, FL 33029-5463
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA9100728 (FL) |
Surgical Physician Assistant: Definition to come...
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About NPI 1679618458
Raul A. Gonzalez, PA's National Provider Identifier is 1679618458, issued on Feb 20, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pembroke Pines, FL. The record was last updated on Jul 8, 2007.