Individual
MIGUEL ANTONIO GONZALEZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
1009 SILVERBELL TRL, SAINT CLOUD, FL 34771-7819
(786) 234-6600
Mailing address
1009 SILVERBELL TRL, SAINT CLOUD, FL 34771-7819
(786) 234-6600
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
17-530
FL
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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