Individual provider · Type 1 NPI

Myriam Viviana Perdomo Gonzalez, APRN, FNP-BC

Family Nurse Practitioner · Davie, FL

NPI number 1366223695 Active

Practice location

1970 S University Dr Ste 24
Davie, FL 33324-5846

Call (954) 800-5686 Map

Fax (954) 838-5414

Mailing address

5102 NW 122nd Ave
Coral Springs, FL 33076-3504

Other practice locations

  • 3155 Lake Worth Rd, Palm Springs, FL 33461-6917 · (954) 803-7700

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN11029159 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1366223695

Myriam Viviana Perdomo Gonzalez, APRN, FNP-BC's National Provider Identifier is 1366223695, issued on Oct 12, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Davie, FL. The record was last updated on May 28, 2025.