Individual
MS. BARBARA DE LA CRUZ GONGORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4418 18TH AVE SW, NAPLES, FL 34116-5912
(305) 721-5990
Mailing address
4418 18TH AVE SW, NAPLES, FL 34116-5912
(305) 721-5990
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11036469
FL
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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