Individual
HAROLD SELAN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1096
(305) 585-1111
Mailing address
1709 SAN REMO CIR, HOMESTEAD, FL 33035-1120
(786) 357-7283
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
11010420
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
11010420
FL
Other
Enumeration date
12/28/2020
Last updated
03/11/2021
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