NPIMap

Individual provider Active NPI

Renato Gonik, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Deerfield Beach, FL
National Provider Identifier
1073545802
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
ME78708 Issued in FL
Practice address
1801 W Sample Rd Ste 101
Deerfield Beach, FL 33064-1370
Phone
(954) 888-3800
Fax
(954) 888-3808
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X ME78708 FL Primary

Addresses

Primary practice location

1801 W Sample Rd Ste 101
Deerfield Beach, FL 33064-1370

Mailing address

1608 SE 3Rd Ave FL 3
Fort Lauderdale, FL 33316-2564
Phone (954) 888-3800

Other practice location 1

6405 N Federal Hwy Ste 404
Fort Lauderdale, FL 33308-1414
Phone (954) 940-7015

Other identifiers 1

IdentifierTypeStateIssuer
019925100MedicaidFL

Other names 1

  • Renato Gonik Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050604000003 FL Practitioner - NeurologyPractitioner - Pediatric Medicine 5496798050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Broward Hospital DistrictGroup PAC ID 3577472422, 192 clinicians

Practice addresses (Care Compare)

1801 W Sample Rd
Suite 101
Deerfield Beach, FL 33064-1370
Phone (954) 888-3800

Hospital & facility affiliations

  • Broward Health North Hospital, Deerfield Beach, FL, CCN 100086
  • Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200
  • Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276
  • Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039

National Provider Directory

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

Practice roles (9 of 10)

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Feb 2, 2017 Accepting new patients
North Broward Hospital District CurrentSince Jul 31, 2023 Accepting new patients
North Broward Hospital District Current Accepting new patients
North Broward Hospital District CurrentSince Jul 31, 2023 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Feb 2, 2017 Accepting new patients
University of Miami Past Accepting new patients
University of Miami Past Accepting new patients
North Broward Hospital District Past Accepting new patients
North Broward Hospital District Past Accepting new patients

Locations

1801 W Sample Rd
Ste 101
Deerfield Beach, FL 33064
Phone (954) 481-9184

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

1601 S Andrews Ave
Ste 3
Ft Lauderdale, FL 33316

1608 SE 3rd Ave
Fl 3
Ft Lauderdale, FL 33316

1700 NW 49th St
Ste 125
Ft Lauderdale, FL 33309
Phone (954) 355-3490

6405 N Federal Hwy
Ste 404
Ft Lauderdale, FL 33308
Phone (954) 940-7015

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

Networks

  • Freedom Health HMO Network

Organizations & group practices 31

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.

View all 31

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1073545802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 SE 3RD AVE FL 3",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162564",
            "telephone_number": "954-888-3800",
            "fax_number": "954-888-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W SAMPLE RD STE 101",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330641370",
            "telephone_number": "954-888-3800",
            "fax_number": "954-888-3808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6405 N Federal Hwy Ste 404",
            "address_purpose": "LOCATION",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081414",
            "country_code": "US",
            "telephone_number": "954-940-7015",
            "fax_number": "954-888-3755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONIK",
        "first_name": "RENATO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "ME78708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019925100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENATO",
            "last_name": "GONIK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.