Individual
MS. MIRTHA FERNANDA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1840 W 49TH ST, STE. 220-11, HIALEAH, FL 33012-2942
(305) 819-8116
(305) 819-8116
Mailing address
1840 W 49TH ST, STE. 220-11, HIALEAH, FL 33012-2942
(305) 819-8116
(305) 819-8116
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO5159
FL
Other
Enumeration date
09/12/2006
Last updated
07/09/2007
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