Individual
NILDA S. GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7638 SW 105TH PL, MIAMI, FL 33173-2931
(646) 501-0344
Mailing address
7638 SW 105TH PL, MIAMI, FL 33173-2931
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1843912
FL
Other
Enumeration date
10/23/2006
Last updated
06/28/2023
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