Individual
MR. JOSEPH GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3618 DOE RUN DR, SAINT CLOUD, FL 34772-8227
(305) 458-4820
Mailing address
3618 DOE RUN DR, SAINT CLOUD, FL 34772-8227
(305) 458-4820
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4612
FL
Other
Enumeration date
08/20/2016
Last updated
08/20/2016
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