Individual
DORLYS GONZALEZ BORGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 NW 82ND AVE, DORAL, FL 33126-1011
(786) 420-5924
Mailing address
51 E 7TH ST APT 1D, HIALEAH, FL 33010-4434
(786) 718-5809
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM102126
FL
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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