Individual provider · Type 1 NPI
Lidice Gonzalez Gonzalez
Family Nurse Practitioner · Davie, FL
NPI number
1477464469
Active
Practice location
4180 SW 53rd Ave
Davie, FL 33314-3731
Mailing address
1400 NW 12th Ave
Miami, FL 33136-1003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 11050991 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1477464469
Lidice Gonzalez Gonzalez's National Provider Identifier is 1477464469, issued on Sep 16, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Davie, FL. The record was last updated on Sep 16, 2026.