Individual
PRISCILLA CRYSTAL GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1096
(305) 585-3241
Mailing address
10540 NW 35TH CT, MIAMI, FL 33147-1045
(786) 457-9705
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN11001837
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11001837
FL
Other
Enumeration date
03/21/2019
Last updated
08/12/2024
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