Individual provider Active NPI

Gonzalo Arboleda, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Odessa, FL
National Provider Identifier
1245812445
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11012064 Issued in FL
Practice address
15985 Preserve Marketplace Blvd Unit 107
Odessa, FL 33556-5509
Phone
(727) 416-2845
NPI assigned
Apr 27, 2021
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11012064 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11012064 FL Primary

Addresses

Primary practice location

15985 Preserve Marketplace Blvd Unit 107
Odessa, FL 33556-5509

Mailing address

15985 Preserve Marketplace Blvd Unit 107
Odessa, FL 33556-5509
Phone (727) 416-2845

Other practice location 1

6551 North Ave
Oak Park, IL 60302-1020
Phone (708) 790-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250326003005 FL Practitioner - Nurse Practitioner 1254854672 Reassigns benefits to 2 organizations
I20260407002412 IL Practitioner - Psychiatry 1254854672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rad Gharavi MD PCGroup PAC ID 0547336091, 6 clinicians

Practice addresses (Care Compare)

17945 Hunting Bow Cir
Suite 102
Lutz, FL 33558-5376
Phone (813) 449-1910

6551 N Ave
Oak Park, IL 60302-1020
Phone (708) 790-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11012064FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sensible Psychiatric Solutions Family Current Accepting new patients
Rad Gharavi MD PC CurrentSince Jan 5, 2025 Accepting new patients
Baycare Behavioral Health Inc. Current Accepting new patients
Baycare Behavioral Health, Inc CurrentSince May 5, 2025 Accepting new patients
Rad Gharavi MD PC CurrentSince Jan 5, 2025 Accepting new patients
Baycare Behavioral Health Inc. CurrentSince May 5, 2025 Accepting new patients

Locations

17945 Hunting Bow Cir
Ste 102
Lutz, FL 33558
Phone (813) 449-1910

7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200

6551 North Ave
Oak Park, IL 60302
Phone (708) 445-0480

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1245812445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15985 PRESERVE MARKETPLACE BLVD UNIT 107",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335565509",
            "telephone_number": "727-416-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15985 PRESERVE MARKETPLACE BLVD UNIT 107",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335565509",
            "telephone_number": "727-416-2845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6551 North Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603021020",
            "country_code": "US",
            "telephone_number": "708-790-5200",
            "fax_number": "708-524-2104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARBOLEDA",
        "first_name": "GONZALO",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-27",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012064",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11012064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, FL

Sources for this page

Verify at the official NPI Registry.