Provider Demographics
NPI:1912487786
Name:GONZALEZ, JANET LORRAINE (ARNP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:LORRAINE
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7250 RED BUG LAKE RD STE 1020
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9290
Mailing Address - Country:US
Mailing Address - Phone:407-706-1770
Mailing Address - Fax:
Practice Address - Street 1:1550 MULKEY RD
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-1112
Practice Address - Country:US
Practice Address - Phone:770-732-1137
Practice Address - Fax:770-732-2081
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9400244363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily