Healthcare Provider Details

I. General information

NPI: 1174220552
Provider Name (Legal Business Name): ANA CLAUDIA CARDOSO GOMES MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2023
Last Update Date: 05/11/2024
Certification Date: 08/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3355 BURNS RD STE 104
PALM BEACH GARDENS FL
33410-1009
US

IV. Provider business mailing address

3355 BURNS RD STE 104
PALM BEACH GARDENS FL
33410-4354
US

V. Phone/Fax

Practice location:
  • Phone: 561-691-4144
  • Fax:
Mailing address:
  • Phone: 561-691-4144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11024780
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: