Doctor Name: | MRS. GILDA INES GONZALES |
NPI Number: | 1659772895 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP, FNP-BC |
License Number: | ARNP9213359 |
Business Practice Address: | 11253 Nw 79th Ln Medley, FL - 331781448 |
Business Phone Number: | 3056088865 |
Business Fax Number: | |
Mailing Address: | 11253 Nw 79th Ln, MEDLEY |
State: | FL |
Postal Code: | 331781448 |
Phone Number: | 3056088865 |
Fax Number: | |
NPI Enumeration Date: | 09/08/2014 |
NPI Last Update Date: | 09/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP9213359 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |