Organization
MARIA DE JESUS GONZALEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA DE JESUS GONZALEZ PHYSICAL THERAPIST (PHYSICAL THERAPIST)
(305) 231-1544
Entity
Organization
Contact information
Practice address
6043 NW 167TH ST, SUITE A11, MIAMI, FL 33015-4326
(305) 231-1544
Mailing address
6043 NW 167TH ST, SUITE A11, MIAMI, FL 33015-4326
(305) 231-1544
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 14991
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 14991
LICENSE NUMBER
FL
Enumeration date
05/25/2006
Last updated
08/22/2020
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