Individual
JUAN CARLOS GONZALEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CBHCM-S
Contact information
Practice address
640 W PALM DR STE D, FLORIDA CITY, FL 33034-3237
(786) 601-7757
Mailing address
7150 SW 23RD ST APT 46, MIAMI, FL 33155-1651
(786) 797-2339
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CBHCMS.0102831
FL
Other
Enumeration date
12/22/2021
Last updated
09/24/2025
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