Healthcare Provider Details

I. General information

NPI: 1205762176
Provider Name (Legal Business Name): ANOINTED HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30997 JAZZ LEAF PL
SAN ANTONIO FL
33576-8232
US

IV. Provider business mailing address

30997 JAZZ LEAF PL
SAN ANTONIO FL
33576-8232
US

V. Phone/Fax

Practice location:
  • Phone: 813-507-6802
  • Fax:
Mailing address:
  • Phone: 813-507-6802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. NATHANIEL MORELL GONZALEZ
Title or Position: CLINICAL DIRECTOR, MANAGING PARTNER
Credential: APRN, FNP-C
Phone: 813-507-6802