Individual
DEISY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 OAK LN STE 4048100, MIAMI LAKES, FL 33016-5820
(305) 952-3125
Mailing address
6711 GREENE ST, HOLLYWOOD, FL 33024-2831
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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