Individual
LUISA F GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, LMT
Contact information
Practice address
14100 58TH ST N, CLEARWATER, FL 33760-9900
(727) 824-8181
Mailing address
14100 58TH ST N, CLEARWATER, FL 33760-9900
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA76892
FL
363AM0700X
Medical Physician Assistant
Primary
PA9118336
FL
Other
Enumeration date
10/03/2017
Last updated
08/19/2025
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