Individual
ANNIA GONZALEZ MARULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1825 NW 167TH ST STE 108, MIAMI GARDENS, FL 33056-4838
(305) 474-1803
(786) 629-3702
Mailing address
1825 NW 167TH ST STE 108, MIAMI GARDENS, FL 33056-4838
(305) 474-1803
(786) 629-3702
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11004360
FL
363LP0200X
Pediatric Nurse Practitioner
APRN11004360
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105428400
—
FL
Enumeration date
10/03/2019
Last updated
03/09/2022
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