Provider Demographics
NPI:1043075377
Name:GONZALEZ ALMEIDA, NELSON SR
Entity Type:Individual
Prefix:MR
First Name:NELSON
Middle Name:
Last Name:GONZALEZ ALMEIDA
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 FORREST DR APT 207
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-7268
Mailing Address - Country:US
Mailing Address - Phone:786-229-0068
Mailing Address - Fax:
Practice Address - Street 1:615 FORREST DR APT 207
Practice Address - Street 2:
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-7268
Practice Address - Country:US
Practice Address - Phone:786-229-0068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLG524-620-00-295-1106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician