Michelle Andrea Gonzalez

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME133877 Issued in FL

Practice address

108 S Pebble Beach Blvd
Sun City Center, FL 33573-5788

Phone

(813) 633-6550

Fax

(813) 633-6551

NPI assigned

Apr 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Carlos a Labrador Mdpa

  • Family Medicine Physician
  • St Petersburg, FL
  • NPI 1376753350
  Medicare reassignment NPD

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265852255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S PEBBLE BEACH BLVD",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735788",
            "telephone_number": "813-633-6550",
            "fax_number": "813-633-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S PEBBLE BEACH BLVD",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735788",
            "telephone_number": "813-633-6550",
            "fax_number": "813-633-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MICHELLE",
        "middle_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME133877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gert Center, Inc.
• Veronika Ghobrial
• Kimberly A. Giffard, M.D.
• Kayla Ginter
• David T Goldsberry, M.D.
• Gonzalo a Gonzalez MD PA
• Jennifer Goolsby, DPT
• Roger Gray, PA-C
• Michelle Ann Greer, OTR/L, CHT
• Gregory L Henderson MD Facs Inc

• Internal Medicine Physician in Sun City Center, FL
• Providers in Sun City Center, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.