Provider Demographics
NPI:1629715412
Name:GONZALEZ VALENTIN, GIULIANO (DC)
Entity Type:Individual
Prefix:DR
First Name:GIULIANO
Middle Name:
Last Name:GONZALEZ VALENTIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3440 RENAISSANCE BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34134-7004
Mailing Address - Country:US
Mailing Address - Phone:239-676-8603
Mailing Address - Fax:239-676-8671
Practice Address - Street 1:3015 SW PINE ISLAND RD STE 111
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33991-1704
Practice Address - Country:US
Practice Address - Phone:239-558-5866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-13
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13983111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor