EFRAIN A. GONZALEZ PL
Social Work at 3 Ave, Miami, FL

License number
Florida PY3731
Category
Social Work
Type
Clinical
Owner
Name: DR. EFRAIN ANTONIO GONZALEZ PSY.D.
Title: OWNER
Phone: (305) 218-5540
Address
Address
2730 SW 3Rd Ave STE 202A, Miami, FL 33129
National Provider ID: 1023434370
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EFRAIN A. GONZALEZ PL

Miami, FL

Industry:
Medical Doctor's Office
Registration:
Dec 5, 2011
Addresses:
2730 SW 3 Ave 202-A, Miami, FL 33129 (Physical)
2929 SW 3 Ave, Miami, FL 33129
State ID:
L11000137082
Business type:
Florida Limited Liability Company
Managing Member:
Efrain A Gonzalez (Managing Member), 2730 SW 3 Ave, Miami, FL 33129 (Physical)
Agent:
Herman S Rivas Cpa Pa,3601 NW 20, Miami, FL 33142 (Physical)
EIN:
454333000

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