F. JORGE GONZALEZ M.D PA
Ambulatory Health at Orange Ave, Orlando, FL

License number
Florida ME0079378
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. FLORENCIO JORGE GONZALEZ M.D
Title: OWNER/PRESIDENT
Phone: (407) 447-1628
Address
Address
2902 N Orange Ave, Orlando, FL 32804
National Provider ID: 1366678674
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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F. JORGE GONZALEZ, M.D., PA

Orlando, FL

Registration:
Oct 4, 2001
Addresses:
2902 N Orange Ave L, Orlando, FL 32804 (Physical)
3100 Clay Ave, Orlando, FL 32804
2902 N Orange Ave, Orlando, FL 32804
State ID:
P01000096855
Business type:
Florida Profit Corporation
Secretary, President:
Jorge F Gonzalez (Secretary, President), 2902 N Orange Ave, Orlando, FL 32804 (Physical)
Agent:
Jorge Gonzalez,2902 N Orange Ave, Orlando, FL 32804 (Physical)
EIN:
59-3747239

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