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Individual

HECTOR MARIO GONZALEZ ORDONEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7550 FUTURES DR STE 105, ORLANDO, FL 32819-9096
(407) 730-7983
(844) 743-6224
Mailing address
12426 BLACKSMITH DR APT 207, ORLANDO, FL 32837-3401
(407) 967-7445

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
03/04/2018
Last updated
03/04/2018
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