Individual
MAGGE L GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBHCM
Contact information
Practice address
1999 W COLONIAL DR, ORLANDO, FL 32804-7021
(304) 380-3342
Mailing address
12751 SOPHIAMARIE LOOP, ORLANDO, FL 32828-7180
(304) 380-3342
(304) 380-3342
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
FL
Other
Enumeration date
01/11/2017
Last updated
07/26/2022
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