Individual
MARIENA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP APRN
Contact information
Practice address
701 6TH ST S, ST PETERSBURG, FL 33701-4814
(727) 893-6220
(727) 893-6865
Mailing address
701 6TH ST S, ST PETERSBURG, FL 33701-4814
(727) 893-6220
(727) 893-6865
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN11037770
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11037770
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128475700
—
FL
Enumeration date
02/25/2025
Last updated
11/15/2025
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