Individual
ENRIQUE F. GONZALEZ JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
865 E 52ND ST, HIALEAH, FL 33013-1749
(786) 655-1784
Mailing address
865 E 52ND ST, HIALEAH, FL 33013-1749
(786) 655-1784
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
15-655
WI
Other
Enumeration date
09/16/2016
Last updated
02/18/2022
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