Individual
JACQUELINE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
14231 SW 152ND PL, MIAMI, FL 33196-5689
(305) 281-6747
Mailing address
14231 SW 152ND PL, MIAMI, FL 33196-5689
(305) 281-6747
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11034267
FL
Other
Enumeration date
01/18/2025
Last updated
03/18/2025
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