Individual
JESSICA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2368 SW 168TH LOOP, OCALA, FL 34473-4359
(407) 485-1990
Mailing address
2368 SW 168TH LOOP, OCALA, FL 34473-4359
(407) 485-1990
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
G0592009550201
FL
251E00000X
Home Health Agency
G0592009550201
FL
376K00000X
Nurse's Aide
445455
FL
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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