Individual
KASSANDRA PILAR GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
14334 SW 98TH TER, MIAMI, FL 33186-8820
(305) 878-7857
Mailing address
14334 SW 98TH TER, MIAMI, FL 33186-8820
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
9444187
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
11015040
FL
Other
Enumeration date
05/11/2021
Last updated
09/13/2021
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