Individual
LAZARO UVALDO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6835 SW 45TH LN APT 10, MIAMI, FL 33155-6822
(305) 815-1845
Mailing address
6835 SW 45TH LN APT 10, MIAMI, FL 33155-6822
(305) 815-1845
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11000207
FL
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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