Healthcare Provider Details

I. General information

NPI: 1164247706
Provider Name (Legal Business Name): YOSBEL ESPINOSA GONZALEZ APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2024
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4775 N CONGRESS AVE
BOYNTON BEACH FL
33426-7941
US

IV. Provider business mailing address

4775 N CONGRESS AVE
BOYNTON BEACH FL
33426-7941
US

V. Phone/Fax

Practice location:
  • Phone: 561-328-8631
  • Fax: 561-328-8632
Mailing address:
  • Phone: 561-328-8631
  • Fax: 561-328-8632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11033552
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: