Individual
DR. MIGUEL A. GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1310 MAXIMILLIAN ST, DELTONA, FL 32725-6502
(386) 259-0647
(386) 860-0074
Mailing address
44 VALLEYWOOD DR, DEBARY, FL 32713-3280
(386) 259-0647
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2595
FL
Other
Enumeration date
01/19/2009
Last updated
08/17/2011
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