Gonzalez, Maribel

Gonzalez, Maribel is an individual health care provider with primary practice located at 14243 Tamiami Trl , North Port FL 34287-2215. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gonzalez, Maribel can be contacted via phone (941) 888-2144.

Contact Information

Primary practice address
14243 Tamiami Trl North Port FL 34287-2215
Fax: (888) 213-0604
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9168851 Florida

Profile Details

NPI number 1295795045
LBN Legal business name Gonzalez, Maribel
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jun 24th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295795045 NPPES
Florida MEDICAID 306229500
Florida Other Y050Y

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