Individual
MR. HISBEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2020 NE 163RD ST STE 207, NORTH MIAMI BEACH, FL 33162-4927
(786) 333-4658
Mailing address
3521 SW 23RD ST, MIAMI, FL 33145-3018
(786) 333-4658
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PTA29259
FL
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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