Individual
MR. ROBERTO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
13837 CIRCA CROSSING DRIVE, LITHIA, FL 33547
(813) 684-2663
Mailing address
13837 CIRCA CROSSING DRIVE, LITHIA, FL 33547
(813) 684-2663
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5230
FL
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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