NELSON L GONZALEZ DPM PA
Medical Practice at Del Prado Blvd, Cape Coral, FL

License number
Florida PO3291
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: DR. NELSON L GONZALEZ DPM
Title: PRESIDENT
Phone: (239) 541-1095
Address
Address 2
2500 Del Prado Blvd S, Cape Coral, FL 33904
17201 NW 52Nd Ave, Miami, FL 33055
National Provider ID: 1407157324
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NELSON L. GONZALEZ, D.P.M., PA

17201 NW 52 Ave, Opa Locka, FL 33055

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
NELSON L GONZALEZ, DPM, LLC
Inactive reason:
CONVERSION
Registration:
Mar 4, 2009
Inactive since:
Mar 4, 2009
State ID:
P09000020669
Business type:
Florida Profit Corporation
Manager, President, Vice President:
Nelson L Gonzalez Manager, President, Vice President, inactive, 17201 NW 52 Ave, Opa Locka, FL 33055 (Physical)
Agent:
Nelson Gonzalez,17201 NW 52 Ave, Opa Locka, FL 33055 (Physical)
EIN:
26-0602763

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