Gonzalez, Nadezhda

Gonzalez, Nadezhda is an individual health care provider with primary practice located at 9981 S Healthpark Dr , Fort Myers FL 33908. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Gonzalez, Nadezhda can be contacted via phone (239) 343-2052.

Contact Information

Primary practice address
9981 S Healthpark Dr Fort Myers FL 33908
Phone: (239) 343-2052
Fax: (239) 343-5348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X ME131657 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME131657 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME131657 Florida

Profile Details

NPI number 1568874667
LBN Legal business name Gonzalez, Nadezhda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2014
Last updated Jan 11th, 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 1568874667 NPPES
Florida MEDICAID 100789500

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