Individual
MR. GONZALO ALBERTO OGLIASTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LM T MA41976
Contact information
Practice address
16773 HEMINGWAY DR, WESTON, FL 33326-3108
(954) 588-5021
Mailing address
16773 HEMINGWAY DR, WESTON, FL 33326-3108
(954) 588-5021
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 41976
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 41976
FL. MASSAGE LIC
FL
Enumeration date
03/07/2008
Last updated
03/07/2008
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