Individual
JOSE JORGE GONZALEZ LAVANDEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6800 SW 18TH CT, POMPANO BEACH, FL 33068-4326
(954) 422-6500
Mailing address
6800 SW 18TH CT, POMPANO BEACH, FL 33068-4326
(954) 422-6500
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
17-302
FL
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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