Manuel Domenick Gonzalez, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP 2908822 Issued in FL

Practice address

4278 W Linebaugh Ave
Tampa, FL 33624-5241

Phone

(813) 977-0733

Fax

(813) 971-2230

NPI assigned

Mar 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Smyrna Beach Urgent Care, LLCGroup PAC ID 8426184128, 10 clinicians

Atlantis Urgent Care LLCGroup PAC ID 6305895111, 9 clinicians

Mecnb LLCGroup PAC ID 7911959341, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles (7 of 8)

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGCCDD/Endpoint/IGCCDD

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.

• Atlantis Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Indian Harbour Beach, FL
  • NPI 1821280579
  Medicare reassignment Care Compare group NPD
• Mecnb, LLC

  • General Practice Physician
  • Palm Springs, FL
  • NPI 1427209352
  Medicare reassignment Care Compare group NPD
• New Smyrna Beach Urgent Care, LLC

  • Basic Emergency Medical Technician
  • New Smyrna Beach, FL
  • NPI 1801126297
  Medicare reassignment Care Compare group NPD
• Community Health of Tallahassee LLC

  • Urgent Care Clinic/Center
  • Indialantic, FL
  • NPI 1952687923
  Medicare reassignment NPD
• Rockledge Emergency Group LLC

  • Emergency Medicine Physician
  • Rockledge, FL
  • NPI 1306200522
  Medicare reassignment NPD
• Mecnb, LLC

  • Urgent Care Clinic/Center
  • North Palm Beach, FL
  • NPI 1972959104
  NPD
• Trillium Medical Group of Florida

  • General Practice Physician
  • Lutz, FL
  • NPI 1285835322
  NPD (past)

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

• Holmes Regional Medical Center, Inc.

  • Air Ambulance
  • Melbourne, FL
  • NPI 1235312281

  Hospital

  Care Compare affiliation
• Holmes Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Melbourne, FL
  • NPI 1295702728
  Care Compare affiliation

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235261900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4278 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245241",
            "telephone_number": "813-977-0733",
            "fax_number": "813-971-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4278 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245241",
            "telephone_number": "813-977-0733",
            "fax_number": "813-971-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MANUEL",
        "middle_name": "DOMENICK",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 2908822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "ARNP 2908822",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lillian Gonzalez
• Lizette Gonzalez
• Lizzette Gonzalez, APRN
• Lois O Gonzalez, ARNP
• Lourdes Maria Gonzalez, LCSW
• Manuela Gonzalez
• Maria Gonzalez, CRNA
• Maria Carla Gonzalez
• Maritza Gonzalez
• Marlen Gonzalez, APRN

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.