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Individual

GIOVANNI A GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8300 W FLAGLER ST STE 210, MIAMI, FL 33144-6002
(786) 501-2163
Mailing address
1451 CORUNA AVE, CORAL GABLES, FL 33156-6315

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23529
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DN23529
DN LICENSE
FL
Enumeration date
08/13/2018
Last updated
11/30/2020
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