Individual provider · Type 1 NPI
Harold Selan Gonzalez
Adult Health Nurse Practitioner · Miami, FL
NPI number
1770170532
Active
Practice location
1611 NW 12th Ave
Miami, FL 33136-1096
Mailing address
1709 San Remo Cir
Homestead, FL 33035-1120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 11010420 (FL) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 11010420 (FL) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1770170532
Harold Selan Gonzalez's National Provider Identifier is 1770170532, issued on Dec 28, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Miami, FL. The record was last updated on Mar 11, 2021.