Jessica Gonzalez

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

G0592009550201 Issued in FL

Practice address

2368 SW 168TH Loop
Ocala, FL 34473-4359

Phone

(407) 485-1990

NPI assigned

Nov 6, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1568285682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2368 SW 168TH LOOP",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344734359",
            "telephone_number": "407-485-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2368 SW 168TH LOOP",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344734359",
            "telephone_number": "407-485-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "G0592009550201",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "445455",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "FL",
            "license": "G0592009550201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Gonzalez
• Armando Gonzalez, DPM
• Diana Gonzalez
• Edna Gonzalez
• Jammie Gonzalez
• Keila Esther Gonzalez, DPT
• Lizette Gonzalez, APRN, FNP-BC
• Mariaela Gonzalez, APRN
• Melissa M Gonzalez, PA-C
• Monica Gonzalez, RBT

• Phlebology Physician in Ocala, FL
• Providers in Ocala, FL by specialty
• Phlebology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.