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GONZALEZ, NICHOLAS JAMES       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 801 SIXTH ST SOUTH
ST PETERSBURG FL 33701
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 14950
Dated: 9/6/1984
Expires: 6/30/1985
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Weill Cornell Medical College of Cornell University
Graduated: 6 / 1983
CME Year:
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
801 SIXTH ST SOUTH
ST PETERSBURG FL 33701

Phone #:
Fax #:

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