Healthcare Provider Details

I. General information

NPI: 1801366299
Provider Name (Legal Business Name): OLISDAY FERRER GONZALEZ APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2018
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 MERRILL RD STE 10-11
JACKSONVILLE FL
32277-3005
US

IV. Provider business mailing address

7001 MERRILL RD STE 10-11
JACKSONVILLE FL
32277-3005
US

V. Phone/Fax

Practice location:
  • Phone: 786-312-8508
  • Fax:
Mailing address:
  • Phone: 786-312-8508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11000326
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11000326
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: