Individual
JORGE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2275 FORTUNE RD, KISSIMMEE, FL 34744-4404
(407) 348-2060
Mailing address
2608 GOLD DUST CIR, KISSIMMEE, FL 34744-5155
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9236212
FL
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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