Individual provider Active NPI

Carlos Julio Gonzalez, MD

  • Anesthesiology Physician
  • Lake Placid, FL
National Provider Identifier
1013903178
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME30162 Issued in FL
Practice address
1210 US Highway 27 N
Lake Placid, FL 33852-7948
Phone
(813) 314-4466
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME30162 FL Primary

Addresses

Primary practice location

1210 US Highway 27 N
Lake Placid, FL 33852-7948

Mailing address

4519 George Rd
Ste. 100
Tampa, FL 33634-7329
Phone (813) 496-1075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071215000096 FL Practitioner - Anesthesiology 5092805994 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
DCHD Health Care Professionals LLC CurrentSince Dec 27, 2010 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology CurrentSince Jul 1, 2016 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology CurrentSince Jul 1, 2016 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology Current Accepting new patients
Ams National LLC Anesthesiology CurrentSince Aug 16, 2023 Accepting new patients
Adventist Health System-Sunbelt Inc PastSince Jan 1, 2014 Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

888 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8401

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406

2822 W Virginia Ave
Tampa, FL 33607
Phone (813) 825-0095

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams National LLC 310 clinicians

Practice addresses (Care Compare)

4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Phone (863) 703-2886

Hospital & facility affiliations

  • Adventhealth Sebring Hospital, Sebring, FL, CCN 100109

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1013903178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 GEORGE RD",
            "address_2": "STE. 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347329",
            "telephone_number": "813-496-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 US HIGHWAY 27 N",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338527948",
            "telephone_number": "813-314-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CARLOS",
        "middle_name": "JULIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME30162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Placid, FL

Sources for this page

Verify at the official NPI Registry.