Evelyn Iris Gonzalez is a Family in Tampa, Florida. Evelyn Iris Gonzalez practices all healthcare services and medical treatments related to Family. The NPI Number for Evelyn Iris Gonzalez is 1407025992. The last update date is 2014-05-09.
Evelyn Iris Gonzalez's current location address is 9009 Corporate Lake Dr, Tampa, Florida. You can contact this provider via phone number 8138907834 and fax number 8556681774. The mailing address for Evelyn Iris Gonzalez is 9009 Corporate Lake Dr, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evelyn Iris Gonzalez |
|---|---|
| Address | 9009 Corporate Lake Dr, Tampa, Florida |
| Phone Number | 8138907834 |
| Fax Number | 8556681774 |
| Sole Proprietor | N |
| Credentials | ARNP,FNP-B |
NPI Number Detail
| NPI Number | 1407025992 |
|---|---|
| Provider Enumeration Date | 2008-02-28 |
| Last Updated Date | 2014-05-09 |
Provider Mailing Address Detail
| Address | 9009 Corporate Lake Dr |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336342367 |
| Phone Number | 8138907834 |
| Fax Number | 8556681774 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | ARNP9256151 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Y00Y1 | FL | BLUE CROSS BLUE SHIELD | |
| 673800 | FL | -- |
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What is the Evelyn Iris Gonzalez's 1407025992?
The Evelyn Iris Gonzalez's NPI (National Provider Identifier) Number is 1407025992. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Evelyn Iris Gonzalez located?
The Evelyn Iris Gonzalez is located at 9009 Corporate Lake Dr, Tampa, FL 336342367.
What is Evelyn Iris Gonzalez's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Evelyn Iris Gonzalez's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407025992 to Evelyn Iris Gonzalez?
The Centers for Medicare & Medicaid Services originally issued the 1407025992 to Evelyn Iris Gonzalez on 2008-02-28.
As of what date was the information regarding Evelyn Iris Gonzalez, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Evelyn Iris Gonzalez, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-05-09.