Healthcare Provider Details

I. General information

NPI: 1598901712
Provider Name (Legal Business Name): LEANNE DENISE GONZALEZ APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEANNE DENISE LYNCH NNP

II. Dates (important events)

Enumeration Date: 12/17/2008
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E ROLLINS ST
ORLANDO FL
32803-1248
US

IV. Provider business mailing address

601 E ROLLINS ST
ORLANDO FL
32803-1248
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-2528
  • Fax: 407-303-2760
Mailing address:
  • Phone: 407-303-2528
  • Fax: 407-303-2760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberAPRN11015734
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number5004211
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: