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NPI Code Detail

MEDICARE: LOIS O GONZALEZ ARNP

MEDICARE: LOIS O GONZALEZ ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN525302FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164536439
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOIS O GONZALEZ ARNP
Provider Business Mailing Address
First Line : 4107 W SPRUCE ST STE 100
Second Line :
City : TAMPA
State : FL
Zip : 33607-2346
Country : US
Telephone Number : 813-636-8811
Fax Number : 813-636-8855
Provider Business Practice Location Address
First Line : 4107 W SPRUCE ST STE 100
Second Line :
City : TAMPA
State : FL
Zip : 33607-2346
Country : US
Telephone Number : 813-636-8811
Fax Number : 813-636-8855
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 09/16/2025

Similar Medicare Providers

1821652322 — MRS. THERESA MADELINE ROONEY-MALKY MA, NCC, LPC, LMHC
Practice Location Address:
4107 W SPRUCE ST STE 100
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1619929536 — MR. SIDNEY LANIER GIBSON JR. LMHC
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1134155401 — DR. VICTOR HONG M.D.
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33607-2346
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1053462291 — SARAH KLEIN REID ARNP
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1194923169 — DR. DORIT GOLAN BREITER ARNP
Practice Location Address:
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1700054053 — MS. ANDREA L BARRETO M.A.
Practice Location Address:
4107 W SPRUCE ST STE 100
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Practice Fax: 813-636-8855

Directions to “ LOIS O GONZALEZ ARNP” Practice Location

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