Individual
VITMARY GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10751 SW 225TH TER, MIAMI, FL 33170-6571
(786) 445-3445
Mailing address
10751 SW 225TH TER, MIAMI, FL 33170-6571
(786) 445-3445
Taxonomy
Speciality
Code
Description
License number
State
347B00000X
Bus
Primary
G524-860-82-854-0
FL
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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