Gonzalez, Miguel Angel

Gonzalez, Miguel Angel is an sole proprietor health care provider with primary practice located at 13880 Shell Point Plaza Suite 110, Fort Myers FL 33908-3504. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as his primary health care specialty. Gonzalez, Miguel Angel can be contacted via phone (239) 466-1111.

Contact Information

Primary practice address
13880 Shell Point Plaza Suite 110 Fort Myers FL 33908-3504
Fax: (239) 454-2111
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X APRN9309813 Florida

Profile Details

NPI number 1962928994
LBN Legal business name Gonzalez, Miguel Angel
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2017
Last updated May 9th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962928994 NPPES
Florida MEDICAID 022054200

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