Individual
OWEN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
2680 HENDERSON DR STE 3, JACKSONVILLE, NC 28546-5297
(910) 219-1455
Mailing address
2680 HENDERSON DR STE 3, JACKSONVILLE, NC 28546-5297
(910) 219-1455
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO006226
FL
224P00000X
Prosthetist
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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