Individual
ANISLEYDIS RAFAELA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19055 NW 62ND AVE APT 205, HIALEAH, FL 33015-5052
(786) 451-9028
Mailing address
19055 NW 62ND AVE APT 205, HIALEAH, FL 33015-5052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11030209
FL
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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