Individual
ELIAN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1479 NW 27TH AVE, MIAMI, FL 33125-2133
(305) 633-3776
Mailing address
1576 SW 154TH CT, MIAMI, FL 33194-2648
(786) 362-9724
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11027936
FL
Other
Enumeration date
09/04/2023
Last updated
11/21/2024
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