Individual
CLARA MARY GONZALEZ GUEVARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
01 S UNIVERSITY DR, SUITE C136, PLANTATION, FL 33324
(954) 642-2530
Mailing address
801 S UNIVERSITY DR STE C136, PLANTATION, FL 33324-3366
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11004797
FL
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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