Healthcare Provider Details

I. General information

NPI: 1780560391
Provider Name (Legal Business Name): MARIA DE LOS ANGELES GONZALEZ FIGUEREDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 W OAKLAND PARK BLVD
OAKLAND PARK FL
33311-1520
US

IV. Provider business mailing address

17425 NW 77TH CT
HIALEAH FL
33015-3821
US

V. Phone/Fax

Practice location:
  • Phone: 754-200-8248
  • Fax:
Mailing address:
  • Phone: 954-557-3804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11042918
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number9645010
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: