Individual
GOAR GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14801 SW 104TH CT, MIAMI, FL 33176-7723
(786) 779-8899
Mailing address
14801 SW 104TH CT, MIAMI, FL 33176-7723
(786) 779-8899
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/28/2024
Last updated
09/30/2024
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