Individual provider · NPI-1

Antony Gonzalez Vigoa, RN, ARNP

Nurse Practitioner, Family · Hialeah, FL

NPI number1972125987
StatusActive
Last updated in NPPESOct 12, 2023

Details

NPI
1972125987
Entity type
Individual (NPI-1)
Name
Antony Gonzalez Vigoa
Credential
RN, ARNP
Sex
Male
Sole proprietor
No
Enumeration date
May 13, 2020
Certification date
Oct 12, 2023
Last updated
Oct 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPRN11028071FLYes
163WG0000X Registered Nurse, General PracticeRN9512841FL

Practice location

16795 Nw 67th Ave
Hialeah, FL 33015-4201

Phone 305-913-7300

Mailing address

17313 Nw 63rd Ave
Hialeah, FL 33015-4470

Phone 786-450-8270

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