Individual
JORGE A GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T
Contact information
Practice address
300 NORTHWEST DR, MIAMI, FL 33126-4252
(305) 793-4234
Mailing address
300 NORTHWEST DR, MIAMI, FL 33126-4252
(305) 793-4234
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
MA42484
FL
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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