Tara L Gonzales MD PA

NPI #1619171758 in Pensacola, Florida

Provider Information

NPI Number: 1619171758
Entity Type: Organization
Organization Name: Tara L Gonzales MD PA
Primary Specialty: Pediatrics
Enumeration Date: Jun 13, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4220 N DAVIS HWY
Address 2: SUITE 200, BLDG. A
City: Pensacola
State: Florida
ZIP Code: 32503-2752
Phone: (850) 477-5475

Authorized Official

Name: TARA L GONZALEZ, MD
Title: OWNER
Phone: (850) 477-5475

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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