# ADVANCED HEALTH PROFESSIONAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336571645
- **Authorized official:** JOHANNA N GONZALEZ (OWNER)
- **Authorized official phone:** (305) 526-1773

## Contact information

- **Practice address:** 6501 NW 36TH ST, SUITE 303, VIRGINIA GARDENS, FL 33166-6959
- **Practice address phone:** (305) 526-1773
- **Practice address fax:** (305) 526-1763
- **Mailing address:** 6501 NW 36TH ST, SUITE 303, VIRGINIA GARDENS, FL 33166-6959
- **Mailing address phone:** (305) 526-1773
- **Mailing address fax:** (305) 526-1763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2013
- **Last updated:** 08/08/2013