Abadias Gonzalez, Johanna

Abadias Gonzalez, Johanna is an individual health care provider with primary practice located at 6817 Southpoint Pkwy Ste 1602 , Jacksonville FL 32216-6298. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Abadias Gonzalez, Johanna can be contacted via phone (904) 945-7556.

Contact Information

Primary practice address
6817 Southpoint Pkwy Ste 1602 Jacksonville FL 32216-6298
Phone: (904) 945-7556
Fax: (904) 379-0113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 3264 South Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT13260 Florida

Profile Details

NPI number 1144332263
LBN Legal business name Abadias Gonzalez, Johanna
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144332263 NPPES
Georgia MEDICAID 0032022269A

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