MR. Ibsen Fundora Gonzalez, APRN is a family nurse practitioner in Lauderdale Lakes, FL. MR. Ibsen Fundora Gonzalez, APRN NPI is 1396354627. The provider is registered as an individual entity type and is a multiple single specialty group.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4850 W OAKLAND PARK BLVD STE 201
LAUDERDALE LAKES, FL
ZIP 33313-268
Phone: (954) 735-3535
Fax: (954) 484-7000
The NPI 1396354627 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/22/2020 and was last updated on 9/18/2020.