Organization
MYOHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZARO GONZALEZ APRN (PROVIDER)
(305) 915-3638
Entity
Organization
Contact information
Practice address
1475 NW 97TH AVE STE 101, DORAL, FL 33172-2819
(305) 915-3638
Mailing address
800 N 73RD TER, HOLLYWOOD, FL 33024-7140
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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