Organization
EFRAIN A. GONZALEZ PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EFRAIN ANTONIO GONZALEZ PSY.D. (OWNER)
(305) 218-5540
Entity
Organization
Contact information
Practice address
2730 SW 3RD AVE STE 202A, MIAMI, FL 33129-2323
(305) 218-5540
Mailing address
8589 SW 115TH PL, MIAMI, FL 33173-4202
(305) 218-5540
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY3731
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767612300
—
FL
Enumeration date
03/11/2014
Last updated
06/09/2014
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