Organization
ACTIVA MEDICAL CENTER & SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AIMEE TERESA GONZALEZ APRN (FAMILY NURSE PRACTITIONER)
(786) 317-9247
Entity
Organization
Contact information
Practice address
12966 SW 150TH TER, MIAMI, FL 33186-7601
(786) 406-2497
Mailing address
11090 SW 64TH ST, MIAMI, FL 33173-2028
(786) 317-9247
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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