Provider Demographics
NPI:1982427969
Name:GARZON FERRER, GLORIA MARIA (MSN-DE, APRN)
Entity type:Individual
Prefix:
First Name:GLORIA
Middle Name:MARIA
Last Name:GARZON FERRER
Suffix:
Gender:F
Credentials:MSN-DE, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6355 NW 36TH ST BLDG VIRGINIA
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-7009
Mailing Address - Country:US
Mailing Address - Phone:786-233-6891
Mailing Address - Fax:
Practice Address - Street 1:1500 S HIATUS RD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-3617
Practice Address - Country:US
Practice Address - Phone:954-438-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-06
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11035956363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily