Gonzalez, Stephanie Nikole

Gonzalez, Stephanie Nikole is an sole proprietor health care provider with primary practice located at 18560 Sw 52Nd St , Miramar FL 33029-6250. 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, Stephanie Nikole can be contacted via phone (954) 805-3533.

Contact Information

Primary practice address
18560 Sw 52Nd St Miramar FL 33029-6250
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1568014306
LBN Legal business name Gonzalez, Stephanie Nikole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2019
Last updated Jul 11th, 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 1568014306 NPPES
Florida Other 9389804 FLORIDA STATE BOARD OF NURSING

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