Ibsen Fundora Gonzalez APRN

NPI # 

Practice Address:

4850 W Oakland Park Blvd Ste 201

Lauderdale Lakes, FL, 33313-7268

Practice Phone:

954-735-3535

Practice Fax:

954-484-7000

License Number:

APRN11008252

License State:

FL

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Family

Taxonomy Code:

363LF0000X

Updated by NPPES on 9/18/2020. You can view the original data set for NPI # 1396354627 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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Ibsen Fundora Gonzalez , APRN 's

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Ibsen Fundora Gonzalez , APRN 's

CMS prescription data

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