Organization Active NPI

Alfredo E Gonzalez MD PA

  • Dermatology Physician
  • Winter Park, FL
National Provider Identifier
1487957858
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME67354 Issued in FL
Legal business name
ALFREDO E GONZALEZ MD PA
Practice address
201 N Lakemont Ave Ste 800
Winter Park, FL 32792-3228
Phone
(407) 645-2737
Fax
(407) 645-1082
NPI assigned
Dec 7, 2010
Last updated
Mar 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Alfredo E. Gonzalez, M.D.NPI 1659402840
Title
President
Phone
(407) 645-2737

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
Dermatology Physician 207N00000X ME67354 FL Primary

Addresses

Primary practice location

201 N Lakemont Ave Ste 800
Winter Park, FL 32792-3228

Mailing address

201 N Lakemont Ave Ste 800
Winter Park, FL 32792-3228
Phone (407) 645-2737

National Provider Directory

National Provider Directory

Locations

201 N Lakemont Ave
Ste 2100
Winter Park, FL 32792
Phone (321) 444-6560

201 N Lakemont Ave
Ste 800
Winter Park, FL 32792
Phone (407) 645-2737

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": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1487957858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N LAKEMONT AVE STE 800",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923228",
            "telephone_number": "407-645-2737",
            "fax_number": "407-645-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N LAKEMONT AVE STE 800",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923228",
            "telephone_number": "407-645-2737",
            "fax_number": "407-645-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFREDO E GONZALEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-645-2737",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME67354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.