Provider Demographics
NPI:1891199162
Name:GONZALEZ TARIN, FRANCISCO MIGUEL (MSN)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:MIGUEL
Last Name:GONZALEZ TARIN
Suffix:
Gender:M
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13055 SW 42ND ST
Mailing Address - Street 2:STE 210
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3410
Mailing Address - Country:US
Mailing Address - Phone:305-485-8666
Mailing Address - Fax:305-485-0575
Practice Address - Street 1:13055 SW 42ND ST STE 210
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3410
Practice Address - Country:US
Practice Address - Phone:305-485-8666
Practice Address - Fax:305-485-0575
Is Sole Proprietor?:No
Enumeration Date:2014-10-15
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9333038363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily