Individual provider · NPI-1

Dr. Ricardo Dario Gonzalez, M.D.

Urology · Bradenton, FL

NPI number1992071252
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1992071252
Entity type
Individual (NPI-1)
Name
Dr. Ricardo Dario Gonzalez
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 30, 2012
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X UrologyME130265FLYes

Practice location

200 3rd Ave W Ste 210
Bradenton, FL 34205-8633

Phone 941-792-0340 · Fax 941-794-2251

Mailing address

2160 Colonial Blvd
Fort Myers, FL 33907-1410

Phone 239-931-7342 · Fax 239-931-7385

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