Individual
DANIEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12490 SW 76TH ST, MIAMI, FL 33183-3541
(786) 290-5071
Mailing address
9000 SW 137 AVE., SUITE 103, MIAMI, FL 33186-3541
(305) 671-3503
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11011072
FL
Other
Enumeration date
01/13/2021
Last updated
09/12/2023
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