Active NPI
William Gonzalez, ARNP
- Family Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN3212892
- Practice address
- 10503 San Jose Blvd
Jacksonville, FL 32257 - Phone
- (904) 450-6700
- Fax
- (904) 450-6691
- NPI assigned
- Mar 23, 2009
- Last updated
- Jun 22, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN3212892 | FL | Primary |
Addresses
Primary practice location
10503 San Jose Blvd
Jacksonville, FL 32257
Mailing address
4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 296-5691
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FL BLUE | Other | FL | Y08JH |
| 008779100 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Florida College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
611 Zeagler Dr
Palatka, FL 32177-3810
Phone (800) 424-3672
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN3212892 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System Sunbelt, Inc. | Family | Current | Accepting new patients |
| Ellis Pediatrics, PLLC | Current | Accepting new patients | |
| Cep America, LLC | Current | Accepting new patients | |
| Adventist Health System/ Sunbelt, Inc. | Family | Current | Accepting new patients |
| St Vincents Ambulatory Care Inc | Current | Accepting new patients | |
| St Vincents Ambulatory Care Inc | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| St Vincent's Full Service Urgent Care, LLC | Current | Accepting new patients | |
| Inphynet South Broward LLC | Current | Accepting new patients | |
| Paragon Emergency Services LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
12086 Fort Caroline Rd
Ste 401
Jacksonville, FL 32225
Phone (904) 456-9240
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
6477 103rd St
Jacksonville, FL 32210
Phone (904) 639-8517
7963 Normandy Blvd
Jacksonville, FL 32221
Phone (904) 379-1203
9820 Hutchinson Park Dr
Jacksonville, FL 32225
Phone (904) 450-6740
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070
7800 Sheridan St
Pembroke Pines, FL 33024
Phone (954) 962-9650
703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000
2001 County Road 210 W
Saint Johns, FL 32259
Phone (904) 450-6270
1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000
Organizations & group practices 12
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.
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
dba AdventHealth Centra Care
- Urgent Care Clinic/Center
- Maitland, FL
- NPI 1073565610
Family
-
- Emergency Medicine Physician
- Miramar Beach, FL
- NPI 1295442614
-
- Emergency Medicine Physician
- Hollywood, FL
- NPI 1871521880
-
- Occupational Medicine Clinic/Center
- Jacksonville, FL
- NPI 1750672051
-
- Neurological Surgery Physician
- Jacksonville, FL
- NPI 1417987124
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1295738367
-
dba AdventHealth Centra Care - Southern Trace
- Urgent Care Clinic/Center
- The Villages, FL
- NPI 1396605440
Family
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1912694902
-
- Pediatrics Physician
- Jacksonville, FL
- NPI 1134844426
-
dba Ascension St Vincent's Medical Group
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
- NPI 1679226690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1467693358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 BELFORT RD STE 4015",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322163623",
"telephone_number": "904-296-5691",
"fax_number": "904-450-6401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10503 SAN JOSE BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32257",
"telephone_number": "904-450-6700",
"fax_number": "904-450-6691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-23",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN3212892",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "Y08JH",
"identifier": "FL BLUE",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008779100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.