Healthcare Provider Details

I. General information

NPI: 1346099892
Provider Name (Legal Business Name): YUSLEIDYS VALDEOLLA GONZALEZ APRN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2024
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2685 SW 32ND PL STE 100
OCALA FL
34471-7863
US

IV. Provider business mailing address

931 W OAK ST STE 103
KISSIMMEE FL
34741-4973
US

V. Phone/Fax

Practice location:
  • Phone: 407-931-0444
  • Fax: 407-962-4446
Mailing address:
  • Phone: 407-931-0444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11032815
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: