MEDICARE: ARMANDO 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
1	363L00000X	Nurse Practitioner	9357855	FL

General Provider Information

NPI Number	:	1558883744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARMANDO GONZALEZ ARNP

Provider Business Mailing Address
First Line	:	2512 W 73RD PL
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-6503
Country	:	US
Telephone Number	:	786-873-1248
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 W 68TH ST STE 114
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33014-4406
Country	:	US
Telephone Number	:	305-698-9077
Fax Number	:	305-827-4925

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

Provider Enumeration Date	:	07/10/2017
Last Update Date	:	07/21/2022

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Directions to “ ARMANDO GONZALEZ ARNP” Practice Location

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