Individual
ARIANA JAZMIN LEAL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1389 S US 301, SUMTERVILLE, FL 33585-5143
(352) 793-5900
Mailing address
1425 S US 301, SUMTERVILLE, FL 33585-5141
(352) 793-5900
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11020168
FL
Other
Enumeration date
06/16/2022
Last updated
07/14/2022
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