Individual
TANIA DIMARIS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1150 S SEMORAN BLVD, ORLANDO, FL 32807-1460
(407) 704-7811
(407) 382-0659
Mailing address
136 MERIDIAN ST, DAVENPORT, FL 33837-3848
(786) 438-9697
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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