Individual
DORA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 FONTAINEBLEAU BLVD, 2L4, MIAMI, FL 33172-7018
(786) 344-9373
Mailing address
15387 SW 57TH ST, MIAMI, FL 33193-2507
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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