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Individual

ILEANA GONZALEZ GARCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10911 SW 161ST ST, MIAMI, FL 33157-2820
(786) 712-2361
Mailing address
10911 SW 161ST ST, MIAMI, FL 33157-2820
(786) 712-2361

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM.0106430
FL

Other

Enumeration date
09/18/2025
Last updated
09/18/2025
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