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NPI 1780199604

NPI 1780199604 : KENIA GONZALEZ APRN, FNP-C : MIAMI BEACH, FL

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General NPI Number Information
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    NPI Number           |    1780199604
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    Entity Type          |    Individual 
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    Provider Name        |    KENIA GONZALEZ APRN, FNP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/14/2017
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    Last Update Date     |    08/29/2025
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Provider Practice Location Address
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    Address Line         |    1221 71ST ST 
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    City                 |    MIAMI BEACH
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    State                |    FL
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    Zip                  |    33141-3647
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    Country              |    US
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    Telephone            |    305-538-8835
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    Fax                  |    305-994-0054
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Provider Business Mailing Address
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    Address Line         |    11645 BISCAYNE BLVD STE 207 
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    City                 |    NORTH MIAMI
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    State                |    FL
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    Zip                  |    33181-3138
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    Country              |    US
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    Telephone            |    305-538-8835
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    Fax                  |    305-994-0054
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LW0102X
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    Taxonomy Name        |    Women's Health Nurse Practitioner
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    License Number       |    APRN9338761
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    APRN9338761
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    License Number State |    FL
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