Individual
JACQUELINE S GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2001 W 68TH ST, HIALEAH, FL 33016-1801
(305) 823-5000
Mailing address
450 SW 19TH RD, MIAMI, FL 33129-1314
(305) 858-9816
(305) 858-7116
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
NP832422
FL
Other
Enumeration date
05/17/2006
Last updated
09/28/2010
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