IBSEN FUNDORA GONZALEZ

LAUDERDALE LAKES, FL
NPI1396354627
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN11008252)
Enumeration Date2020-07-22
Last Update Date2020-09-18
Business Address
Mr. IBSEN FUNDORA GONZALEZ APRN
4850 W OAKLAND PARK BLVD STE 201
LAUDERDALE LAKES, FL 33313-7268
Phone number: 954-735-3535
Mailing Address
Mr. IBSEN FUNDORA GONZALEZ APRN
2610 SW 114TH AVE
MIAMI, FL 33165-2106
Phone number: 561-255-9330
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