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Individual

ANDREW MAURICIO GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
10655 SW 97TH AVE, MIAMI, FL 33176-2808
(305) 479-7891
Mailing address
10655 SW 97TH AVE, MIAMI, FL 33176-2808

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL-697
FL

Other

Enumeration date
03/05/2018
Last updated
03/05/2018
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