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NPI Code Detail

MEDICARE: MISS ESMERALDA GONZALES ARNP

MEDICARE: MISS ESMERALDA GONZALES ARNP
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
1363LA2200XAdult Health Nurse PractitionerARNP3064972FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174061436
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ESMERALDA GONZALES ARNP
Provider Business Mailing Address
First Line : 1324 LAKELAND HILLS BLVD
Second Line : ATTN: MANAGED CARE
City : LAKELAND
State : FL
Zip : 33805-4543
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 130 PABLO ST
Second Line :
City : LAKELAND
State : FL
Zip : 33803-3818
Country : US
Telephone Number : 863-687-8335
Fax Number : 863-687-8337
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2017
Last Update Date : 01/06/2026

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Directions to “ MISS ESMERALDA GONZALES ARNP” Practice Location

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