Individual
JOSE A GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3321 NW 23RD CT, LAUD LAKES, FL 33311-2742
(786) 838-8701
Mailing address
3321 NW 23RD CT, LAUD LAKES, FL 33311-2742
(786) 838-8701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10381
PR
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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