Individual
JUAN C GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13155 SW 134TH ST, MIAMI, FL 33186-4486
(786) 842-3624
Mailing address
13155 SW 134TH ST STE 222, MIAMI, FL 33186-4489
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12416
—
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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