Individual
JUAN FELIBERTO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6081
Mailing address
9981 SW 20TH ST, MIAMI, FL 33165-7501
(786) 395-0816
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
04-227
FL
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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