Individual
ALIDA PENA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
515 CARLTON ST, WAUCHULA, FL 33873-3407
(863) 773-6606
(863) 773-9542
Mailing address
882 TERRIER DR, ZOLFO SPRINGS, FL 33890-9516
(786) 280-8495
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11000014
FL
Other
Enumeration date
11/20/2018
Last updated
01/14/2020
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