Individual
MISS ANA IVIS CABRERA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13240 N CLEVELAND AVE STE 2-3, NORTH FORT MYERS, FL 33903-4855
(786) 346-0178
Mailing address
13240 N CLEVELAND AVE STE 2&3, NORTH FORT MYERS, FL 33903-4855
(239) 599-4986
(239) 205-6101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11000095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103523500
—
FL
01
—
7P8TK
BCBS
FL
Enumeration date
01/04/2019
Last updated
09/04/2020
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