Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Itza Marie Nieves Gonzalez

Individual provider Speech-Language Assistant · NPI 1083579270

Itza Marie Nieves Gonzalez is a Speech-Language Assistant in Lake Wales, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

427 Burns Ave
Lake Wales, FL 33853-3314
Phone: (863) 679-3338
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Assistant (primary) Taxonomy 2355S0801X · Licence SI7690 (FL)

Record details

NPI number1083579270
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 19, 2025
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025

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