Provider Demographics
NPI:1649787466
Name:GONZALEZ, MAYTEE ZULINA (MSN, APRN, CPN, NP-C)
Entity type:Individual
Prefix:MS
First Name:MAYTEE
Middle Name:ZULINA
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:MSN, APRN, CPN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4239 SW 157TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-3800
Mailing Address - Country:US
Mailing Address - Phone:786-606-7670
Mailing Address - Fax:
Practice Address - Street 1:3659 S MIAMI AVE STE 3002
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4225
Practice Address - Country:US
Practice Address - Phone:305-858-7940
Practice Address - Fax:305-858-2361
Is Sole Proprietor?:No
Enumeration Date:2018-01-02
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9208278363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily