Individual
GELYS GONGORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6107 MEMORIAL HWY, TAMPA, FL 33615-4596
(813) 890-3400
Mailing address
6107 MEMORIAL HWY, TAMPA, FL 33615-4596
(813) 890-3400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11014674
FL
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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