MEDICARE: MEDSOURCE CONSULTANTS LLC

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

General Provider Information

NPI Number	:	1952623506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDSOURCE CONSULTANTS LLC

Provider Business Mailing Address
First Line	:	1001 SW 22ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33129-2713
Country	:	US
Telephone Number	:	305-975-7774
Fax Number	:	786-828-7131

Provider Business Practice Location Address
First Line	:	1001 SW 22ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33129-2713
Country	:	US
Telephone Number	:	305-975-7774
Fax Number	:	305-854-0027

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ARTURO GONZALEZ
Credential	:	DNP ARNP
Telephone Number	:	305-975-7774

Provider Enumeration Date	:	02/24/2010
Last Update Date	:	03/12/2026

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Directions to “MEDSOURCE CONSULTANTS LLC ” Practice Location

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