Provider Demographics
NPI:1902511975
Name:GONZALEZ ARMAS, MAIKEL A I
Entity Type:Individual
Prefix:MR
First Name:MAIKEL
Middle Name:A
Last Name:GONZALEZ ARMAS
Suffix:I
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 1:9654 LAKE PINE PL
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33635-1114
Mailing Address - Country:US
Mailing Address - Phone:941-306-8423
Mailing Address - Fax:
Practice Address - Street 1:9654 LAKE PINE PL
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33635-1114
Practice Address - Country:US
Practice Address - Phone:941-306-8423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
G524541881851OtherUNKNOWN