Individual
MRS. LISSETTE MARIE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP-BC
Contact information
Practice address
4321 SW 160TH AVE APT 104, MIRAMAR, FL 33027-5763
(954) 604-5144
Mailing address
4321 SW 160TH AVE APT 104, MIRAMAR, FL 33027-5763
(954) 604-5144
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11022678
FL
Other
Enumeration date
11/08/2022
Last updated
11/28/2022
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