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NPI Code Detail

MEDICARE: YVETTE GONZALEZ APRN, FNP-BC

MEDICARE:   YVETTE  GONZALEZ  APRN, FNP-BC
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
1363LF0000XFamily Nurse PractitionerGAA-NP004797GA
2363LF0000XFamily Nurse PractitionerAPRN11010260FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111010260OTHERFLAPRN LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275136301
Entity Type Code : Individual
Provider Name (Legal Business Name) : YVETTE GONZALEZ APRN, FNP-BC
Provider Business Mailing Address
First Line : 6950 CYPRESS RD STE 107
Second Line :
City : PLANTATION
State : FL
Zip : 33317-2361
Country : US
Telephone Number : 754-202-1000
Fax Number : 954-827-6150
Provider Business Practice Location Address
First Line : 6950 CYPRESS RD STE 107
Second Line :
City : PLANTATION
State : FL
Zip : 33317-2361
Country : US
Telephone Number : 754-202-1000
Fax Number : 954-827-6150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2020
Last Update Date : 06/22/2026

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Directions to “ YVETTE GONZALEZ APRN, FNP-BC” Practice Location

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