Individual
MAX A GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1250 SW 27TH AVE, STE 404, MIAMI, FL 33135
(305) 642-5255
(305) 642-8850
Mailing address
8953 SW 96TH ST, MIAMI, FL 33176-2929
(305) 642-5255
(305) 642-8850
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6082
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007219800
—
FL
Enumeration date
11/28/2006
Last updated
05/16/2018
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