Healthcare Provider Details

I. General information

NPI: 1669386058
Provider Name (Legal Business Name): JULIA GONZALEZ PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8100 SW 10TH ST
PLANTATION FL
33324-3279
US

IV. Provider business mailing address

8100 SW 10TH ST
PLANTATION FL
33324-3279
US

V. Phone/Fax

Practice location:
  • Phone: 954-210-1203
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT37463
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: