ROLANDO L GONZALEZ MD PA
Osteopathic Medicine at Commerce Pkwy, Fort Lauderdale, FL

License number
Florida ME0050165
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. ROLANDO LUIS GONZALEZ MD
Title: MEDICAL DOCTOR
Phone: (954) 577-5579
Address
Address
2229 N Commerce Pkwy, Fort Lauderdale, FL 33326
National Provider ID: 1760744890
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ROLANDO L. GONZALEZ M.D. PA

2800 SW 154 Ln, Fort Lauderdale, FL 33331

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
Admin Dissolution For Annual Report
Registration:
Jun 22, 1998
Inactive since:
Sep 27, 2013
State ID:
P98000055596
Business type:
Florida Profit Corporation
President:
Rolando L Gonzalez President, inactive, 2800 SW 154 Ln, Fort Lauderdale, FL 33331 (Physical)
Agent:
Rolando Gonzalez,2800 SW 154 Ln, Fort Lauderdale, FL 33331 (Physical)
EIN:
65-0835367

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