Individual provider Active NPI

Francisco Gonzalez, PA

  • Medical Physician Assistant
  • Winter Garden, FL
National Provider Identifier
1366638546
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9100627 Issued in FL
Practice address
1002 S Dillard St Ste 102
Winter Garden, FL 34787-3991
Phone
(407) 877-3577
NPI assigned
Sep 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9100627 FL Primary

Addresses

Primary practice location

1002 S Dillard St Ste 102
Winter Garden, FL 34787-3991

Mailing address

1002 S. Dillard Street
Winter Garden, FL 34787
Phone (407) 877-3577

Other identifiers 5

IdentifierTypeStateIssuer
169181OtherFLFELLOW SHIP IN PROGRESS METABOLIC AND NUTRITIONAL MEDICINE
04166641OtherFLEDUCATIONAL COMMISSION FOR FOREIGN MEDICAL GRADUATE CERTIFICATION
539442194OtherFLAMERICAN DIABETES ASSOCIATION
ME26402800100OtherFLAMA
9100627OtherFLPA, LICENSE

Other names 1

  • Francisco Gonzalez Professional name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050706000057 FL Practitioner - Physician Assistant 9931145539 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9100627FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Osteoporosis Centers of America Inc Past Accepting new patients
Idelis Fedeslinda Arias de la Torre PastSince Jun 1, 2021 Accepting new patients
Orlando Family Physicians, LLC PastSince Jan 5, 2025 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1366638546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 S. DILLARD STREET",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "407-877-3577",
            "fax_number": "407-877-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 S DILLARD ST STE 102",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873991",
            "telephone_number": "407-877-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "FRANCISCO",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-20",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9100627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FELLOW SHIP IN PROGRESS METABOLIC AND NUTRITIONAL MEDICINE",
            "identifier": "169181",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATIONAL COMMISSION FOR FOREIGN MEDICAL GRADUATE CERTIFICATION",
            "identifier": "04166641",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN DIABETES ASSOCIATION",
            "identifier": "539442194",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMA",
            "identifier": "ME26402800100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA,  LICENSE",
            "identifier": "9100627",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANCISCO",
            "last_name": "GONZALEZ",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.