Gonzalo T Florido MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36-074510 Issued in IL

Legal business name

GONZALO T FLORIDO MD SC

Practice address

714 S 10TH St
Watseka, IL 60970-1827

Phone

(815) 432-6744

NPI assigned

Oct 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gonzalo T Florido, MD

Title

President

Phone

(815) 432-6744

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1407045289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 S 10TH ST",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701827",
            "telephone_number": "815-432-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 S 10TH ST",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701827",
            "telephone_number": "815-432-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALO T FLORIDO MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "FLORIDO",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-432-6744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36-074510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Watseka, IL
• Providers in Watseka, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.