Provider Demographics
NPI:1922426493
Name:GONZALEZ, ARMANDO (DPM)
Entity Type:Individual
Prefix:
First Name:ARMANDO
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5760 10TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-6432
Mailing Address - Country:US
Mailing Address - Phone:727-384-1111
Mailing Address - Fax:727-384-1112
Practice Address - Street 1:3300 SW 33RD RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-7458
Practice Address - Country:US
Practice Address - Phone:352-351-4444
Practice Address - Fax:352-351-4920
Is Sole Proprietor?:No
Enumeration Date:2014-04-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3880213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery