Gonzalo T Florido Md Sc

NPI 1407045289 - Internal Medicine - 207R00000X

NPI Details
NPI 1407045289
Enumeration Date 10/17/2007
Last Updated 10/23/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GONZALO T GONZALO
Position PRESIDENT
Phone (815) 432-6744
Fax
Practice Location
714 S 10TH ST
WATSEKA IL, 60970-1827, US
Phone (815) 432-6744
Fax
Business Location
714 S 10TH ST
WATSEKA IL, 60970-1827, US
Phone (815) 432-6744
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 36-074510
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According to our database, Gonzalo T Florido Md Sc NPI is 1407045289, taxonomy code is 207R00000X and license number is 36-074510, license state is located at Illinois. Gonzalo T Florido Md Sc physically located at 714 S 10th St, Watseka IL, 60970-1827. NPI Number 1033115704 has the healthcare provider type.

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1407045289 NPI number is provided on an as is basis without warranty of any kind. 1407045289 is maintained by the National Plan & Provider Enumeration System. The contents of Gonzalo T Florido Md Sc are for informational purposes only.