Individual
AMANDA LUISA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13340 METRO PKWY STE 400, FORT MYERS, FL 33966-4818
(239) 343-1105
(239) 343-4259
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1105
(239) 343-4259
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN9527732
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN1104332
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127544500
—
FL
Enumeration date
01/11/2023
Last updated
09/08/2025
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