MEDICARE: DAILY SOCA 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
1	363LF0000X	Family Nurse Practitioner	APRN11001812	FL

General Provider Information

NPI Number	:	1992104202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAILY SOCA GONZALEZ

Provider Business Mailing Address
First Line	:	10815 SW 173 TERRACE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33157
Country	:	US
Telephone Number	:	786-370-0521
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 NW 54TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33142-2946
Country	:	US
Telephone Number	:	305-633-9090
Fax Number	:

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

Provider Enumeration Date	:	08/22/2014
Last Update Date	:	02/11/2025

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Directions to “ DAILY SOCA GONZALEZ ” Practice Location

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