Individual
JESSICA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12944 SW 227TH ST, MIAMI, FL 33170-2784
(786) 483-5796
Mailing address
12944 SW 227TH ST, MIAMI, FL 33170-2784
(786) 483-5796
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11043212
FL
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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