JULISSA GONZALEZ (NPI# 1073918157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073918157 |
| Entity Type | Individual |
| Full Name | JULISSA GONZALEZ |
| Credential | ARNP |
| Practice Address |
8381 Riverwalk Park Blvd Suite 202 Fort Myers FL 33919-8760 |
| Practice Telephone | 2396895561 |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP 9261220 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285080234 | Julissa A Gonzalez | Counselor | 623 Sabal Ave, Edinburg, TX 78539-3487 | 2016-05-09 |
| 1437628328 | Julissa Gonzalez | Behavior Technician | 21505 N 78th Ave Ste 125, Peoria, AZ 85382-3356 | 2018-11-20 |
| 1043580145 | Julissa Gonzalez | Case Manager/Care Coordinator | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2012-01-05 |
| Street Address |
8381 RIVERWALK PARK BLVD SUITE 202 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33919-8760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245220698 | Laertes A Manuelidis | Dermatology | 8381 Riverwalk Park Blvd, Suite 1, Fort Myers, FL 33919-8760 | 2005-10-26 |
| 1366599144 | Vision Health Care Group Inc | Internal Medicine | 8381 Riverwalk Park Blvd, Suite 201, Fort Myers, FL 33919-8760 | 2007-01-04 |
| 1811950371 | Associates In Dermatology M D P L | Dermatology | 8381 Riverwalk Park Blvd, Suite 101, Fort Myers, FL 33919-8760 | 2006-04-07 |
| 1265495782 | Keith M Benbenisty | Dermatology | 8381 Riverwalk Park Blvd, Suite 101, Fort Myers, FL 33919-8760 | 2006-04-07 |
| 1780646174 | Stanley V Schwartz | Dermatology | 8381 Riverwalk Park Blvd, Suite 101, Fort Myers, FL 33919-8760 | 2006-04-03 |
| 1710948476 | Anthony F Fransway | Dermatology | 8381 Riverwalk Park Blvd, Suite 101, Fort Myers, FL 33919-8760 | 2006-03-31 |
| 1346201001 | Marvin S Porter | Dermatology | 8381 Riverwalk Park Blvd, Suite 101, Fort Myers, FL 33919-8760 | 2006-03-31 |
| 1831150507 | Kip C Cullimore | Dermatology | 8381 Riverwalk Park Blvd, Suite 101, Fort Myers, FL 33919-8760 | 2006-03-31 |
| 1043271737 | Shari L Skinner | Dermatology | 8381 Riverwalk Park Blvd, Suite 101, Fort Myers, FL 33919-8760 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
| 1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
| 1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
| 1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
| 1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
| 1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
| 1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
| 1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
| 1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
| 1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
| Find all providers in zip 33919 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699766725 | Christine Monica Clause | Nurse Practitioner | 2232 Grand Ave, Fort Myers, FL 33901-3717 | 2005-10-28 |
| 1790391225 | Claribeth Jimenez Bastien | Nurse Practitioner | 8260 Gladiolus Dr, Fort Myers, FL 33908-4156 | 2020-09-21 |
| 1679032072 | Mackenzie Labbe Althouse | Nurse Practitioner | 6360 Techster Blvd Ste 1, Fort Myers, FL 33966-4805 | 2019-03-15 |
| 1679046866 | Catherine Marie Andrews | Nurse Practitioner | 3830 Evans Ave, Fort Myers, FL 33901-9305 | 2019-01-10 |
| 1013453018 | Karen Lorena Rodriguez | Nurse Practitioner | 6360 Techster Blvd Ste 1, Fort Myers, FL 33966 | 2017-01-13 |
| 1174877104 | Kathleen N Tenrreiro | Nurse Practitioner | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 | 2012-10-29 |
| 1508125170 | Kenneth A. Berdick, M.d., P.a. | Nurse Practitioner | 3714 Evans Ave, Fort Myers, FL 33901-9303 | 2012-05-16 |
| 1801189659 | Jessica Lynn Schumaker | Nurse Practitioner | 9350 Camelot Dr, Fort Myers, FL 33919-7980 | 2011-05-25 |
| 1992957559 | Lauren J Speas | Nurse Practitioner | 16261 Bass Rd, Suite 100, Fort Myers, FL 33908-3671 | 2008-10-15 |
| 1174770408 | Jamie L Thomas | Nurse Practitioner | 9981 S. Health Park Dr, Fort Myers, FL 33908-3618 | 2008-08-18 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33919 |
Please comment or provide details below to improve the information on JULISSA GONZALEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.