Provider Demographics
NPI:1063020915
Name:GONZALEZ, APRIL CHRISTINE
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:CHRISTINE
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:CHRISTINE
Other - Last Name:VANDERWYDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HIS
Mailing Address - Street 1:12620 FARMINGTON CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-7294
Mailing Address - Country:US
Mailing Address - Phone:407-222-7454
Mailing Address - Fax:
Practice Address - Street 1:1500 BEACH BLVD STE 314
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32250-2621
Practice Address - Country:US
Practice Address - Phone:904-372-4510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-16
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS5521237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist