Dustin Gonzalez
Physical Therapist - Orthopedic
805 Se 3rd Ave Ste 2
Fort Lauderdale
, Florida 33316-1193
Dustin Gonzalez
Physical Therapist - Orthopedic
805 Se 3rd Ave Ste 2
Fort Lauderdale
, Florida 33316-1193
(740) 223-5052
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Dustin Gonzalez
- 4671 Ne 3rd Ave
- Fort Lauderdale, FL
- Zip : 33334-6032
- Phone : (740) 223-5052
Second Address
- Dustin Gonzalez
- 805 Se 3rd Ave Ste 2
- Fort Lauderdale, FL
- Zip : 33316-1193
- Phone : (954) 256-9052
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | PT36664 | FL |
National Provider Identifier
| NPI | 1073119020 |
|---|---|
| Provider Name | Dustin Gonzalez |
| First Address | Fort Lauderdale, FL 33334-6032 |
| Second Address | Fort Lauderdale, FL 33316-1193 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/12/2020 |
| Last Update Date | 07/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.