Active NPI
Alfredo E Gonzalez MD PA
- Dermatology Physician
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME67354
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alfredo E. Gonzalez, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Dermatology Physician
- Winter Park, FL
- NPI 1659402840
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.