Individual
JAVIER JESUS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7401 MIAMI LAKES DR, MIAMI LAKES, FL 33014-6818
(786) 500-7868
(305) 512-6061
Mailing address
15579 MIAMI LAKEWAY N APT 102, MIAMI LAKES, FL 33014-5588
(786) 390-0878
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
29751
FL
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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