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General NPI Number Information
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NPI Number | 1992494850
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Entity Type | Individual
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Provider Name | DAISY I GONZALEZ
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Gender | Female
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Dates
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Enumeration Date | 05/04/2023
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1324 LAKELAND HILLS BLVD
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City | LAKELAND
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State | FL
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Zip | 33805-4543
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Country | US
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Telephone | 863-284-1700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 95448
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City | LAKELAND
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State | FL
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Zip | 33804-5448
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Country | US
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Telephone | 863-284-1700
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Fax | 863-284-1728
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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 | 11025697
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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 | APRN11025697
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License Number State | FL
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