Organization
GONZALEZ'S CAFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE JAVIER GONZALEZ PRESIDENT (PRESIDENT)
(786) 316-3253
Entity
Organization
Contact information
Practice address
8050 NW 103RD ST, SUITE 103, HIALEAH GARDENS, FL 33016-2252
(786) 316-3253
Mailing address
935 W 49TH ST STE 103, HIALEAH, FL 33012-3436
(305) 818-1099
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
SEA2313433
FL
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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