Individual
JENRRY GONZALEZ MEDINILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
13101 NW 19TH AVE, MIAMI, FL 33167-1406
(831) 325-5539
Mailing address
13101 NW 19TH AVE, MIAMI, FL 33167-1406
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11026232
FL
Other
Enumeration date
05/19/2023
Last updated
04/09/2025
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