Healthcare Provider Details

I. General information

NPI: 1669335832
Provider Name (Legal Business Name): DIANA ALEXANDRA GONZALEZ BATERO FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2572 W STATE ROAD 426 STE 1000
OVIEDO FL
32765-8389
US

IV. Provider business mailing address

541 CLIMBING IVY CT UNIT C
APOPKA FL
32712-3355
US

V. Phone/Fax

Practice location:
  • Phone: 407-478-0882
  • Fax:
Mailing address:
  • Phone: 787-425-3757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11046935
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: