Individual
DESVY GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16431 BLATT BLVD APT 104, FORT LAUDERDALE, FL 33326-1841
(754) 837-1909
Mailing address
16431 BLATT BLVD APT 104, FORT LAUDERDALE, FL 33326-1841
(754) 837-1909
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
SI3029
FL
Other
Enumeration date
02/11/2022
Last updated
03/22/2022
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