Individual
ALFREDO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3360 SW 139TH AVE, MIAMI, FL 33175-6706
(786) 587-3749
Mailing address
3360 SW 139TH AVE, MIAMI, FL 33175-6706
(786) 587-3749
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11009928
FL
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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