Gonzalez, Julissa

Gonzalez, Julissa is an individual health care provider with primary practice located at 8381 Riverwalk Park Blvd Suite 202, Fort Myers FL 33919-8760. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gonzalez, Julissa can be contacted via phone (239) 689-5561.

Contact Information

Primary practice address
8381 Riverwalk Park Blvd Suite 202 Fort Myers FL 33919-8760
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP 9261220 Florida

Profile Details

NPI number 1073918157
LBN Legal business name Gonzalez, Julissa
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2014
Last updated Oct 30th, 2014 - about 12 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.

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