Individual
HECTOR GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8268 NW 24TH ST, CORAL SPRINGS, FL 33065-5667
(786) 443-0030
Mailing address
8268 NW 24TH ST, CORAL SPRINGS, FL 33065-5667
(786) 443-0030
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM104048
FL
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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