Provider Demographics
NPI:1881360303
Name:CHECA GONZALEZ, ANGEL E (MD)
Entity type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:E
Last Name:CHECA GONZALEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12171 SW 268TH ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-8001
Mailing Address - Country:US
Mailing Address - Phone:856-577-0869
Mailing Address - Fax:
Practice Address - Street 1:500 MCDUFF AVE S
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32254-4250
Practice Address - Country:US
Practice Address - Phone:904-506-4044
Practice Address - Fax:904-490-8544
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLACN1383208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice