Individual
ALANNA COLON GONCALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Contact information
Practice address
2325 VIDINA DR, MELBOURNE, FL 32940-7698
(321) 471-1068
(321) 434-9285
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 471-1068
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
APRN9223229
FL
367A00000X
Advanced Practice Midwife
Primary
APRN9223229
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017197600
—
FL
01
—
IO223Z
MEDICARE
FL
Enumeration date
02/09/2016
Last updated
12/05/2024
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