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General NPI Number Information
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NPI Number | 1063008456
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Entity Type | Organization
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Legal Business Name | J. GONZALEZ-BARRERA, N.P., P.A.
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Dates
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Enumeration Date | 12/18/2020
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 11930 N BAYSHORE DR STE 1008
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2926
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Country | US
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Telephone | 305-895-7519
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Fax | 305-895-7520
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Provider Business Mailing Address
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Address Line | 11930 N BAYSHORE DR STE 1008
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2926
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Country | US
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Telephone | 305-895-7519
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Fax | 305-895-7520
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Authorized Official
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Title or Position | PRESIDENT
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Name | JORGE GONZALEZ-BARRERA
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Credential | NP
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Telephone | 305-895-7519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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