Individual
MR. JORGE ANGEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMD
Contact information
Practice address
15476 NW 77TH CT STE 447, MIAMI LAKES, FL 33016-5823
(786) 200-9189
Mailing address
15476 NW 77TH CT STE 447, MIAMI LAKES, FL 33016-5823
(786) 200-9189
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
522048
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
522048
PMD
FL
Enumeration date
05/04/2024
Last updated
05/04/2024
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