Individual
ENRIQUE MILAN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C-SA
Contact information
Practice address
9452 NW 120TH ST APT 522, HIALEAH GARDENS, FL 33018-4010
(786) 804-7349
Mailing address
9452 NW 120TH ST APT 522, HIALEAH GARDENS, FL 33018-4010
(786) 804-7349
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
14-485
FL
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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