Individual
MR. WILLER ANTONIO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-7000
Mailing address
323 E 62ND ST, HIALEAH, FL 33013-1035
(305) 409-2062
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9285445
FL
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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