Healthcare Provider Details

I. General information

NPI: 1053332924
Provider Name (Legal Business Name): HELEN GONZALES KRANZEL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 NW 12TH AVE
MIAMI FL
33136-1005
US

IV. Provider business mailing address

468 CAMERON DR
WESTON FL
33326-3513
US

V. Phone/Fax

Practice location:
  • Phone: 305-585-6357
  • Fax: 305-585-0037
Mailing address:
  • Phone: 954-389-7899
  • Fax: 954-384-4387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number1012152
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: