Individual
IBIS E GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
555 W SR 434, LONGWOOD, FL 32750-5119
(407) 767-1200
Mailing address
555 W SR 434, LONGWOOD, FL 32750-5119
(321) 842-2994
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN11021537
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11021537
FL
Other
Enumeration date
08/29/2022
Last updated
04/08/2024
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