MEDICARE: DAWN GONZALEZ TORQUEMADA NP

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	363L00000X	Nurse Practitioner	RN9261484	FL

General Provider Information

NPI Number	:	1982847745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN GONZALEZ TORQUEMADA NP

Provider Business Mailing Address
First Line	:	1414 E OSCEOLA PKWY
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-1611
Country	:	US
Telephone Number	:	407-452-3700
Fax Number	:

Provider Business Practice Location Address
First Line	:	10000 W COLONIAL DR
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-3499
Country	:	US
Telephone Number	:	407-296-1000
Fax Number	:

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

Provider Enumeration Date	:	04/09/2009
Last Update Date	:	02/04/2019

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