Individual
MR. IDALBERTO H. GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
492 NW 47TH AVE, MIAMI, FL 33126-2164
(786) 326-7549
(305) 428-2739
Mailing address
492 NW 47TH AVE, MIAMI, FL 33126-2164
(786) 326-7549
(305) 428-2739
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9244953
FL
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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