| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NAXDARIS GONZALEZ | 1932774841 | 2024-10-13 |
Naxdaris Gonzalez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1932774841. Registration indicates Naxdaris Gonzalez is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Naxdaris Gonzalez MD |
| Practice Office Address | 120 PINE AVE N OLDSMAR, FL US |
| Practice Office Telephone | 8138149504 |
| Mailing Address | 120 PINE AVE N OLDSMAR, FL 346774629 US |
| Business Telephone | 8138149504 |
| Code | Practice | License No State |
|---|---|---|
| 207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | ME167791
FL |