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NPI Code Detail

MEDICARE: YESICA GANDIA GONZALEZ

MEDICARE: YESICA GANDIA 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
1363L00000XNurse PractitionerAPRN11047579FL
2363LF0000XFamily Nurse PractitionerAPRN11047579FL

General Provider Information

NPI Number : 1386572881
Entity Type Code : Individual
Provider Name (Legal Business Name) : YESICA GANDIA GONZALEZ
Provider Business Mailing Address
First Line : 5978 WIND CAVE LN
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32258-5188
Country : US
Telephone Number : 786-520-9030
Fax Number :
Provider Business Practice Location Address
First Line : 7011 A C SKINNER PKWY STE 160
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-6953
Country : US
Telephone Number : 904-493-3333
Fax Number : 904-493-2222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2026
Last Update Date : 06/01/2026

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Directions to “ YESICA GANDIA GONZALEZ ” Practice Location

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