Individual provider Active NPI

Edgar Gonzalez, FNP-BC

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1407553423
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11024520 Issued in FL
Practice address
2 N Semoran Blvd
Orlando, FL 32807-3322
Phone
(689) 240-4646
Fax
(866) 321-8536
NPI assigned
Feb 9, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11024520 FL Primary

Addresses

Primary practice location

2 N Semoran Blvd
Orlando, FL 32807-3322

Mailing address

4224 Anson LN Apt 103
Orlando, FL 32814-6089
Phone (864) 764-2375

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
I20230309001699 FL Practitioner - Nurse Practitioner 8325411523 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11024520FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Family Physicians, PA CurrentSince Aug 6, 2025 Accepting new patients
Florida Rehab Specialists, PLLC CurrentSince Jun 30, 2025 Accepting new patients
Islf-Deerwood Place-Jacksonville LLC Past Accepting new patients
Aguilar Salud Inc Past Accepting new patients

Locations (25 of 110)

1130 NW 15th St
Boca Raton, FL 33486
Phone (561) 394-6282

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

1445 Howell Ave
Brooksville, FL 34601
Phone (352) 799-1451

10845 W Gem St
Crystal River, FL 34428
Phone (352) 794-7601

22900 Lyden Dr
Estero, FL 33928
Phone (239) 221-6120

3250 SW 41st Pl
Gainesville, FL 32608
Phone (352) 378-1558

6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180

4000 SW 20th Ave
Gainesville, FL 32607
Phone (352) 377-1981

8000 NW 27th Blvd
Gainesville, FL 32606
Phone (352) 373-4032

4842 SW Archer Rd
Gainesville, FL 32608
Phone (352) 367-9700

1000 SW 16th Ave
Gainesville, FL 32601
Phone (352) 376-2461

1415 Fort Clarke Blvd
Gainesville, FL 32606
Phone (352) 325-3081

817 NW 56th Ter
Ste B
Gainesville, FL 32605
Phone (352) 331-7771

817 NW 56th Ter
Ste C
Gainesville, FL 32605

6700 NW 10th Pl
Gainesville, FL 32605
Phone (352) 240-6402

227 SW 62nd Blvd
Gainesville, FL 32607
Phone (352) 331-0601

817 NW 56th Ter
Gainesville, FL 32605

4607 NW 53rd Ave
Gainesville, FL 32653
Phone (352) 376-5151

124 W Norvell Bryant Hwy
Hernando, FL 34442
Phone (352) 249-3100

23301 NW 186th Ave
High Springs, FL 32643
Phone (386) 454-0801

8985 S Suncoast Blvd
Homosassa, FL 34446
Phone (352) 697-0705

1894 South Patrick Dr
Indian Harbour Beach, FL 32937
Phone (321) 777-8840

701 Medical Ct E
Inverness, FL 34452
Phone (352) 860-0200

1745 Forest Dr
Inverness, FL 34453
Phone (352) 726-5466

5725 Spring Park Rd
Jacksonville, FL 32216
Phone (904) 302-6160

Interoperability endpoints

  • Direct secure messaging: edgar.gonzalez.1@28378.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1407553423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 ANSON LN APT 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146089",
            "telephone_number": "864-764-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073322",
            "telephone_number": "689-240-4646",
            "fax_number": "866-321-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "EDGAR",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-09",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11024520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.