Individual
CHARISE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12494 SW 127TH AVE, MIAMI, FL 33186-6597
(305) 255-5980
(305) 255-9766
Mailing address
12494 SW 127TH AVE, MIAMI, FL 33186-6597
(305) 255-5980
(305) 255-9766
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ6717
FL
Other
Enumeration date
07/09/2014
Last updated
07/17/2014
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