Individual
OSVALDO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CBHCM
Contact information
Practice address
14902 SW 173RD TER, MIAMI, FL 33187-6756
(786) 564-0178
Mailing address
14902 SW 173RD TER, MIAMI, FL 33187-6756
(786) 564-0178
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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