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Individual

DR. JOSE LUIS GONZALEZ-ROMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN,FNP-C,PMHNP-BC

Contact information

Practice address
14888 SUMMER BRANCH DR, LITHIA, FL 33547-5130
(813) 502-9354
Mailing address
14888 SUMMER BRANCH DR, LITHIA, FL 33547-5130
(813) 502-9354

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN11012338
FL
363LF0000X
Family Nurse Practitioner
GAA-NP-000179
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11012338
FL

Other

Enumeration date
08/11/2021
Last updated
01/21/2025
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