Individual
MRS. AUDREY FE CAINGLES GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16089 POPPYSEED CIR UNIT 2008, DELRAY BEACH, FL 33484-6314
(561) 496-7993
Mailing address
5241 JOG LN, DELRAY BEACH, FL 33484-6652
(561) 909-5680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
30807
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30807
PT LICENSE NUMBER
FL
Enumeration date
09/16/2015
Last updated
09/16/2015
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