Individual
CARMEN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13200 MCCORMICK DR STE E-1, TAMPA, FL 33626-3010
(813) 814-5971
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
FL
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126406900
—
FL
Enumeration date
02/27/2024
Last updated
12/07/2025
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