Individual provider · Type 1 NPI

Lilia A. Fernandez Gongora, MSN, APRN, AGPCNP-BC

Nurse Practitioner · Plantation, FL

NPI number 1073295440 Active

Practice location

261 N University Dr Ste 720
Plantation, FL 33324-2009

Mailing address

19561 NW 82nd Ct
Hialeah, FL 33015-5985

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XAPRN11027790 (FL)
Nurse Practitioner Primary 363L00000XAPRN11027790 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1073295440

Lilia A. Fernandez Gongora, MSN, APRN, AGPCNP-BC's National Provider Identifier is 1073295440, issued on Aug 3, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Plantation, FL. The record was last updated on May 8, 2025.