MEDICARE: ALEXA DANIELA GONZALEZ

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
1	106H00000X	Marriage & Family Therapist		FL

General Provider Information

NPI Number	:	1437000932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXA DANIELA GONZALEZ

Provider Business Mailing Address
First Line	:	15699 NW 12TH CT
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33028-1612
Country	:	US
Telephone Number	:	954-662-9863
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 NW 101ST LN UNIT 202
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-3930
Country	:	US
Telephone Number	:	561-408-1098
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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