Provider Demographics
NPI:1134217458
Name:GONZALEZ, JAVIER HERNANDO (MD)
Entity type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:HERNANDO
Last Name:GONZALEZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3003 W DR. MLK JR BLVD
Mailing Address - Street 2:3RD FLOOR MAB; MS# 3043
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607
Mailing Address - Country:US
Mailing Address - Phone:727-322-4830
Mailing Address - Fax:813-870-0100
Practice Address - Street 1:3003 W DR. MLK JR BLVD
Practice Address - Street 2:3RD FLOOR MAB; MS# 3043
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607
Practice Address - Country:US
Practice Address - Phone:727-322-4830
Practice Address - Fax:813-870-0100
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2018-06-18
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Provider Licenses
StateLicense IDTaxonomies
SC278042080P0202X
FL1037922080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology