Cabrera Gonzalez, Ana Ivis
Cabrera Gonzalez, Ana Ivis is an sole proprietor health care provider with primary practice located at 13240 N Cleveland Ave Ste 2-3 , North Fort Myers FL 33903-4855. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cabrera Gonzalez, Ana Ivis can be contacted via phone (786) 346-0178.Contact Information
Primary practice address
13240 N Cleveland Ave Ste 2-3
North Fort Myers FL 33903-4855
Phone: (786) 346-0178
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 11000095 | Florida |
Profile Details
| NPI number | 1912470709 |
|---|---|
| LBN Legal business name | Cabrera Gonzalez, Ana Ivis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2019 |
| Last updated | Sep 4th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912470709 | NPPES |
| Florida | MEDICAID | 103523500 | |
| Florida | Other | 7P8TK |
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