Provider Demographics
NPI:1386227015
Name:GONZALEZ SANCHEZ, ADIANEZ (MSN, APRN , FNP - C)
Entity Type:Individual
Prefix:MRS
First Name:ADIANEZ
Middle Name:
Last Name:GONZALEZ SANCHEZ
Suffix:
Gender:F
Credentials:MSN, APRN , FNP - C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 TECHNOLOGY PARK STE 109
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-7107
Mailing Address - Country:US
Mailing Address - Phone:813-327-0910
Mailing Address - Fax:
Practice Address - Street 1:11431 GREEN HARVEST DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-6178
Practice Address - Country:US
Practice Address - Phone:813-327-0910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-30
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1101290363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care