MEDICARE: DIANA ALEXANDRA GONZALEZ BATERO 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
1	363LF0000X	Family Nurse Practitioner	11046935	FL

General Provider Information

NPI Number	:	1669335832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA ALEXANDRA GONZALEZ BATERO FNP-BC

Provider Business Mailing Address
First Line	:	541 CLIMBING IVY CT UNIT C
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32712-3355
Country	:	US
Telephone Number	:	787-425-3757
Fax Number	:

Provider Business Practice Location Address
First Line	:	2572 W STATE ROAD 426 STE 1000
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-8389
Country	:	US
Telephone Number	:	407-478-0882
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	06/03/2026

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