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1093191520
CARLOS LUIS GONZALEZ
MELBOURNE, FL
NPI
1093191520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: CO 15-117)
Enumeration Date
2015-08-06
Last Update Date
2016-09-16
Business Address
-- CARLOS LUIS GONZALEZ SA-C
1600 SARNO RD SUITE 15
MELBOURNE, FL 32935-4938
Phone number: 800-348-4565
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Mailing Address
-- CARLOS LUIS GONZALEZ SA-C
3100 W END AVE SUITE 800
NASHVILLE, TN 37203-1320
Phone number: 615-345-5400
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