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NPI Code Detail

MEDICARE: SUSANA GONZALEZ-CORTES RN

MEDICARE: SUSANA GONZALEZ-CORTES RN
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
1163W00000XRegistered NurseRN2515142FL

General Provider Information

NPI Number : 1194651059
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSANA GONZALEZ-CORTES RN
Provider Business Mailing Address
First Line : 14135 WATERVILLE CIR
Second Line :
City : TAMPA
State : FL
Zip : 33626-1621
Country : US
Telephone Number : 813-541-8055
Fax Number :
Provider Business Practice Location Address
First Line : 2420 W MISSISSIPPI AVE
Second Line :
City : TAMPA
State : FL
Zip : 33629-6110
Country : US
Telephone Number : 813-350-9090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2026
Last Update Date : 06/19/2026

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