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NPI Code Detail

MEDICARE: MARIA C GONZALEZ

MEDICARE:   MARIA C GONZALEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care AgencyFL

General Provider Information

NPI Number : 1053263210
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA C GONZALEZ
Provider Business Mailing Address
First Line : 2611 SALINA WAY
Second Line :
City : KISSIMMEE
State : FL
Zip : 34758-2132
Country : US
Telephone Number : 321-682-1800
Fax Number :
Provider Business Practice Location Address
First Line : 2611 SALINA WAY
Second Line :
City : KISSIMMEE
State : FL
Zip : 34758-2132
Country : US
Telephone Number : 321-682-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “ MARIA C GONZALEZ ” Practice Location

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