Individual
RICARDO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4720 NW 167TH ST, MIAMI LAKES, FL 33014-6427
(305) 454-1900
(305) 713-1200
Mailing address
4720 NW 167TH ST, MIAMI LAKES, FL 33014-6427
(305) 454-1900
(305) 713-1200
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
SEA2332781
FL
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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