Provider Demographics
NPI:1518450311
Name:ARAUJO GONZALEZ, YOAN (MD)
Entity Type:Individual
Prefix:
First Name:YOAN
Middle Name:
Last Name:ARAUJO GONZALEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10200 DWELL CT APT 401
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-6204
Mailing Address - Country:US
Mailing Address - Phone:813-562-4686
Mailing Address - Fax:
Practice Address - Street 1:1307 E OSCEOLA PKWY
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-1605
Practice Address - Country:US
Practice Address - Phone:446-654-8278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-07
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21410208D00000X
FLACN1176208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty