NPIMap

Organization Active NPI

F. Jorge Gonzalez M.D PA

  • Medical Specialty Clinic/Center
  • Orlando, FL
National Provider Identifier
1366678674
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME0079378 Issued in FL
Legal business name
F. JORGE GONZALEZ M.D PA
Practice address
2902 N Orange Ave
L
Orlando, FL 32804-4605
Phone
(407) 447-1628
Fax
(321) 422-4651
NPI assigned
Jun 2, 2009
Last updated
Jun 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

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

Authorized official

Name
Dr. Florencio Jorge Gonzalez, M.DNPI 1164649786
Title
Owner/President
Phone
(407) 447-1628

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME0079378 FL Primary

Addresses

Primary practice location

2902 N Orange Ave
L
Orlando, FL 32804-4605

Mailing address

2902 N Orange Ave
L
Orlando, FL 32804-4605
Phone (407) 447-1628

National Provider Directory

National Provider Directory
Tax ID family
F Jorge Gonzalez MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2902 N Orange Ave
Ste L
Orlando, FL 32804
Phone (407) 447-1628

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1366678674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 N ORANGE AVE",
            "address_2": "L",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044605",
            "telephone_number": "407-447-1628",
            "fax_number": "321-422-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 N ORANGE AVE",
            "address_2": "L",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044605",
            "telephone_number": "407-447-1628",
            "fax_number": "321-422-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F. JORGE GONZALEZ M.D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "FLORENCIO",
        "authorized_official_middle_name": "JORGE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "407-447-1628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME0079378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.