Gonzalez, Jaclyn Marie

Gonzalez, Jaclyn Marie is an individual health care provider with primary practice located at 12450 Sw 7Th Pl , Davie FL 33325-3400. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Gonzalez, Jaclyn Marie can be contacted via phone (954) 288-9466.

Contact Information

Primary practice address
12450 Sw 7Th Pl Davie FL 33325-3400
Phone: (954) 288-9466
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL3233 Florida

Profile Details

NPI number 1225544273
LBN Legal business name Gonzalez, Jaclyn Marie
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2017
Last updated Dec 28th, 2017 - about 7 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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