| Doctor Name: | DR. ANTONIO GONZALEZ |
| NPI Number: | 1720047152 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | ACN-248 |
| Business Practice Address: | 214 S 1st St Unit C Immokalee, FL - 341423950 |
| Business Phone Number: | 2396575800 |
| Business Fax Number: | 2396579600 |
| Mailing Address: | 214 S 1st St, Unit C IMMOKALEE |
| State: | FL |
| Postal Code: | 341423950 |
| Phone Number: | 2396575800 |
| Fax Number: | 2396579600 |
| NPI Enumeration Date: | 03/23/2006 |
| NPI Last Update Date: | 01/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ACN-248 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |