Provider Demographics
NPI:1043446313
Name:GONZALEZ, CELIA I (OTR/L RN)
Entity type:Individual
Prefix:
First Name:CELIA
Middle Name:I
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:OTR/L RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15467 GOLDFINCH CIR
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-7013
Mailing Address - Country:US
Mailing Address - Phone:561-578-9248
Mailing Address - Fax:
Practice Address - Street 1:9133 DUPONT PL
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-6475
Practice Address - Country:US
Practice Address - Phone:561-578-9248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-01
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT8636225X00000X
NY559525-1163W00000X
FLRN9237925163W00000X
NY006385225X00000X
FLAPRN11033308363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No163W00000XNursing Service ProvidersRegistered Nurse