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Individual
DAGOBERTO HERRADA GONZALEZ
Active
Individual
DAGOBERTO HERRADA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9625209
FL
363LF0000X
Family Nurse Practitioner
Primary
11046939
FL
Other
Enumeration date
10/06/2025
Last updated
04/23/2026
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