Gonzalez, Olga Vanessa

Gonzalez, Olga Vanessa is an individual health care provider with primary practice located at 1150 N 35Th Ave Suite 170, Hollywood FL 33021-5424. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gonzalez, Olga Vanessa can be contacted via phone (954) 265-4325.

Contact Information

Primary practice address
1150 N 35Th Ave Suite 170 Hollywood FL 33021-5424
Phone: (954) 265-4325
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP3360202 Florida

Profile Details

NPI number 1700150380
LBN Legal business name Gonzalez, Olga Vanessa
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 29th, 2012
Last updated Mar 19th, 2021 - about 5 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 1700150380 NPPES
Florida MEDICAID 005449500

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