Individual
JESUS EMILIO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
8660 W FLAGLER ST STE 203, MIAMI, FL 33144-2035
(305) 392-0598
(866) 817-4696
Mailing address
6444 SW 40TH ST APT 20, MIAMI, FL 33155-4869
(786) 444-6082
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61144
FL
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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