Individual
LUIS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
5200 BLUE LAGOON DR, SUITE 500, MIAMI, FL 33126-7006
(305) 262-1292
Mailing address
5200 BLUE LAGOON DR, SUITE 500, MIAMI, FL 33126-7006
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 6939
FL
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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