Individual
MR. JAYRO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
8931 NW 162 TER, MIAMI LAKES, FL 33018
(305) 986-5135
Mailing address
8931 NW 162 TER, MIAMI LAKES, FL 33018
(305) 986-5135
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA 46512
FL
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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