person
Mr. Ibsen Fundora Gonzalez, APRN
Family Nurse Practitioner in Lauderdale Lakes, Florida
NPI 1396354627

Ibsen Fundora Gonzalez is a Family Nurse Practitioner based in Miami, FL and is specialized in Family. Ibsen Fundora Gonzalez practices in Lauderdale Lakes, FL and has the professional credentials of APRN. The NPI Number for Ibsen Fundora Gonzalez is 1396354627 and holds a License No. APRN11008252 (Florida).

The current practice location address for Ibsen Fundora Gonzalez is 4850 W Oakland Park Blvd Ste 201, Lauderdale Lakes, FL and can be reached out via phone at 954-735-3535 and via fax at 954-484-7000.

Location: 4850 W Oakland Park Blvd Ste 201, Lauderdale Lakes, FL, 33165-2106
person
Provider Profile Details
NPI Number
1396354627
Provider Name
Ibsen Fundora Gonzalez
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
4850 W Oakland Park Blvd Ste 201, Lauderdale Lakes, FL, 33165-2106
Phone Number
954-735-3535
Fax Number
954-484-7000
Provider Enumeration Date
07/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4850 W Oakland Park Blvd Ste 201
City
State
Zip
33313-7268
Phone Number
954-735-3535
Fax Number
954-484-7000
person
Provider Business Mailing Address Details
Address
4850 W Oakland Park Blvd Ste 201
City
State
Zip
33313-7268
Phone Number
954-735-3535
Fax Number
954-484-7000
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
APRN11008252 (Florida)
Definition
Definition to come...
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