Individual
MICHAEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7207 SW 24TH AVE, GAINESVILLE, FL 32607-3706
(352) 333-0600
Mailing address
7207 SW 24TH AVE, GAINESVILLE, FL 32607-3706
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13376
FL
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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