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1093311532
ERIC NELSON GONZALEZ
MIAMI, FL
NPI
1093311532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA29979)
Enumeration Date
2020-12-09
Last Update Date
2020-12-09
Business Address
ERIC NELSON GONZALEZ
15449 SW 137TH AVE
MIAMI, FL 33177-1279
Phone number: 305-602-7035
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Mailing Address
ERIC NELSON GONZALEZ
15449 SW 137TH AVE
MIAMI, FL 33177-1279
Phone number: 305-602-7035
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