Provider Demographics
NPI:1811282478
Name:GONZALEZ, DALIA D (ARNP)
Entity type:Individual
Prefix:
First Name:DALIA
Middle Name:D
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:DALIA
Other - Middle Name:D
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:5975 SUNSET DR STE 103
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5198
Mailing Address - Country:US
Mailing Address - Phone:305-666-4044
Mailing Address - Fax:305-667-8387
Practice Address - Street 1:5975 SUNSET DR STE 103
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5198
Practice Address - Country:US
Practice Address - Phone:305-666-4044
Practice Address - Fax:305-667-8387
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-12
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9187605363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health