Individual
MRS. AMBER GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
105 WOODS LANDING TRAIL, OLDSMAR, FL 34677
(727) 510-2248
Mailing address
105 WOODS LANDING TRAIL, OLDSMAR, FL 34677
(727) 510-2248
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6766
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
888004200
—
FL
Enumeration date
09/22/2009
Last updated
05/17/2019
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