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NPI Code Detail

MEDICARE: YIXI GONZALEZ PEREZ

MEDICARE: YIXI GONZALEZ PEREZ
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 PractitionerAPRN11033932FL

General Provider Information

NPI Number : 1881432821
Entity Type Code : Individual
Provider Name (Legal Business Name) : YIXI GONZALEZ PEREZ
Provider Business Mailing Address
First Line : 3362 HICKORY LEAF CT
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32226-4208
Country : US
Telephone Number : 305-303-9082
Fax Number :
Provider Business Practice Location Address
First Line : 7406 FULLERTON ST STE 105
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-3588
Country : US
Telephone Number : 305-303-9082
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2024
Last Update Date : 09/24/2024

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Directions to “ YIXI GONZALEZ PEREZ ” Practice Location

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