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Individual

ALEXIS A GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A

Contact information

Practice address
900 W 49TH ST, SUITE # 438, HIALEAH, FL 33012-3402
(305) 439-0130
(305) 823-0802
Mailing address
900 W 49TH ST, SUITE # 438, HIALEAH, FL 33012-3402
(305) 439-0130
(305) 823-0802

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA64745
FL

Other

Enumeration date
07/05/2012
Last updated
07/05/2012
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