Doctor Name: | HAROLD GONZALES |
NPI Number: | 1497134928 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 12308 |
Business Practice Address: | 700 S Royal Poinciana Blvd Miami Springs, FL - 331666600 |
Business Phone Number: | 3056689000 |
Business Fax Number: | 3056621788 |
Mailing Address: | 700 S Royal Poinciana Blvd, MIAMI SPRINGS |
State: | FL |
Postal Code: | 331666600 |
Phone Number: | 3056689000 |
Fax Number: | 3056621788 |
NPI Enumeration Date: | 05/29/2015 |
NPI Last Update Date: | 05/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 12308 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |