Individual
GUSTAVO COSME SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
Mailing address
3255 W 10TH AVE, HIALEAH, FL 33012-5017
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
1041C0700X
Clinical Social Worker
—
FL
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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