MEDICARE: LORRAINE MICHELLE GONZALEZ APRN-FNP

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	11047361	FL

General Provider Information

NPI Number	:	1821927229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORRAINE MICHELLE GONZALEZ APRN-FNP

Provider Business Mailing Address
First Line	:	383 HIBISCUS DR
Second Line	:
City	:	POINCIANA
State	:	FL
Zip	:	34759-5607
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5601 S SEMORAN BLVD STE 55
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-1771
Country	:	US
Telephone Number	:	844-782-4666
Fax Number	:

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

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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