Individual
ANIDE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 2945502
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009315600
—
FL
Enumeration date
11/14/2013
Last updated
11/14/2013
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