Individual
ADDY GONZALEZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15346 NW 79TH CT, MIAMI LAKES, FL 33016-5850
(786) 486-0936
Mailing address
1310 W 38TH ST, HIALEAH, FL 33012-4775
(786) 486-0936
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI5380
FL
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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