Individual
ANGELA BIBIANA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
11380 SW 113TH TER, MIAMI, FL 33176-3829
(786) 426-7570
Mailing address
8415 SW 24TH ST STE 205, MIAMI, FL 33155-2305
(305) 262-6868
(305) 262-6867
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 20342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 20342
STATE LICENSE
FL
Enumeration date
04/26/2007
Last updated
12/10/2015
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