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Individual

KATHIE ANN GONZALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP-BC

Contact information

Practice address
24945 US HIGHWAY 19 N, CLEARWATER, FL 33763-3927
(727) 726-1460
(727) 724-9705
Mailing address
24945 US HIGHWAY 19 N, CLEARWATER, FL 33763-3927
(727) 726-1460
(727) 724-9705

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3383662
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3073238 00
FL
01
Y087M
BCBSF
FL
Enumeration date
02/27/2006
Last updated
12/11/2012
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