Individual
OLIVIA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5040 NW 7TH ST STE 660, MIAMI, FL 33126-3485
(786) 389-4592
Mailing address
19301 NW 23RD CT, MIAMI GARDENS, FL 33056-2651
(786) 389-4592
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM.0106877-P
FL
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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