Individual
EDDIE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
16118 OPAL CREEK DR, WESTON, FL 33331
(305) 970-1430
Mailing address
16118 OPAL CREEK DR, WESTON, FL 33331
(305) 970-1430
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11035633
FL
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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