Individual
ERIC NELSON GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15449 SW 137TH AVE, MIAMI, FL 33177-1279
(305) 602-7035
Mailing address
15449 SW 137TH AVE, MIAMI, FL 33177-1279
(305) 602-7035
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29979
FL
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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