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General NPI Number Information
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NPI Number | 1790410876
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Entity Type | Individual
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Provider Name | YESENIA GONZALEZ NP
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Gender | Female
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Dates
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Enumeration Date | 07/21/2022
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 100 S ASHLEY DR STE 600
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City | TAMPA
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State | FL
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Zip | 33602-5300
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Country | US
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Telephone | 615-436-9060
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Fax |
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Provider Business Mailing Address
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Address Line | 22704 VISTAWOOD WAY
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City | BOCA RATON
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State | FL
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Zip | 33428-5501
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Country | US
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Telephone |
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11020711
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN11020711
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License Number State | FL
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