Orlando Julian Gonzalez | North Miami, FL • PECOS Search

Orlando Julian Gonzalez

Counselor

Behavioral Health & Social Service Providers

11645 Biscayne Blvd Ste 307f, North Miami, FL 33181-3139

(305) 891-2047 (305) 733-7939

PECOS Enrollment

Based on the most recent information from CMS, provider Orlando Julian Gonzalez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1316967201
Provider Type
Individual
Full Name
Gonzalez, Orlando Julian
Title
Mr.
Credential
MSED, LMHC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
7/20/2006
Last Updated
7/8/2007

Contact Information

Practice Location

11645 Biscayne Blvd Ste 307f, North Miami, FL 33181-3139

Unlisted Fax

Mailing Location

1330 NE 105th St Apt 305, Miami Shores, FL 33138-2148

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License MH0004148 Florida