Individual
IRIDEL B GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5458 TOWN CENTER RD STE 20, BOCA RATON, FL 33486-1009
(561) 391-6210
(561) 391-2810
Mailing address
9310 FONTAINEBLEAU BLVD APT A411, MIAMI, FL 33172-4661
(786) 390-1533
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
9456789
FL
Other
Enumeration date
07/05/2018
Last updated
05/08/2019
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