Individual
ANTONY GONZALEZ VIGOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, ARNP
Contact information
Practice address
16795 NW 67TH AVE, HIALEAH, FL 33015-4201
(305) 913-7300
Mailing address
17313 NW 63RD AVE, HIALEAH, FL 33015-4470
(786) 450-8270
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN9512841
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11028071
FL
Other
Enumeration date
05/13/2020
Last updated
10/12/2023
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