Individual
ALFONSO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
H.I.S. BC
Contact information
Practice address
20802 BISCAYNE BLVD, AVENTURA, FL 33180-1443
(305) 944-0242
Mailing address
20802 BISCAYNE BLVD, AVENTURA, FL 33180-1443
(305) 944-0242
(786) 428-0450
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS2696
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G524009551810
FLORIDA DRIVERS LICENSE
FL
Enumeration date
01/23/2018
Last updated
01/23/2018
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