ITZA MARIE NIEVES GONZALEZ
NPI 1083579270
Specialist/Technologist - Speech-Language Assistant in Lake Wales, FL

Active since December 19, 2025
427 BURNS AVE, LAKE WALES, FL 33853(863) 679-3338 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Specialist/Technologist
  • Speech-Language Assistant

About ITZA NIEVES GONZALEZ

This page provides the complete NPI Profile along with additional information for Itza Nieves Gonzalez, a provider established in Lake Wales, Florida with a medical specialization in Specialist/technologist, focusing in speech-language assistant . The healthcare provider is registered in the NPI registry with number 1083579270 assigned on December 2025. The practitioner's primary taxonomy code is 2355S0801X with license number SI7690 (FL). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1083579270 Verify this NPI
Provider Name
ITZA MARIE NIEVES GONZALEZ
Gender
Female
Entity Type
Individual
Location Address
427 BURNS AVE LAKE WALES, FL 33853
Location Phone
(863) 679-3338
Mailing Address
427 ROOKS LOOP HAINES CITY, FL 33844
Mailing Phone
(863) 679-3338
Is Sole Proprietor?
Yes
Enumeration Date
12-19-2025
Last Update Date
12-19-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Speech-Language Assistant

Taxonomy Code
2355S0801X
Type
Speech, Language and Hearing Service Providers
License No.
SI7690
License State
FL

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Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Occupational Therapist
427 BURNS AVE
LAKE WALES, FL 33853
Speech-Language Pathologist
427 BURNS AVE
LAKE WALES, FL 33853
Speech-Language Pathologist
427 BURNS AVE
LAKE WALES, FL 33853
Specialist/Technologist (Speech-Language Assistant)
427 BURNS AVE
LAKE WALES, FL 33853
Physical Therapist
427 BURNS AVE
LAKE WALES, FL 33853
Physical Therapy Assistant
427 BURNS AVE
LAKE WALES, FL 33853
Specialist/Technologist (Speech-Language Assistant)
427 BURNS AVE
LAKE WALES, FL 33853
Specialist/Technologist (Speech-Language Assistant)
427 BURNS AVE
LAKE WALES, FL 33853
Speech-Language Pathologist
427 BURNS AVE
LAKE WALES, FL 33853
Occupational Therapist
427 BURNS AVE
LAKE WALES, FL 33853

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083579270, enumerated as an "individual" on December 19, 2025.

The provider is located at 427 BURNS AVE LAKE WALES, FL 33853 and the phone number is (863) 679-3338.

Specialist/Technologist with taxonomy code 2355S0801X and a focus in Speech-Language Assistant.