| Organization Name: | HORACIO GONZALEZ MD PA |
| NPI Number: | 1083872725 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HORACIO GONZALEZ (OWNER) |
| Mailing Address: | 515 State Road 436 Suite 1006 Casselberry |
| State: | FL US |
| Postal Code: | 327075341 |
| Phone Number: | 4078343730 |
| Fax Number: | 4078344863 |
| NPI Enumeration Date: | 05/29/2008 |
| NPI Last Update Date: | 09/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | ME41239 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |