Gonzalo Mosquera MD LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME71342 Issued in FL

Legal business name

GONZALO MOSQUERA MD LLC

Practice address

1129 Nikki View Dr
Brandon, FL 33511-4879

Phone

(813) 571-3311

Fax

(813) 571-2233

NPI assigned

Sep 14, 2011

Organization subpart

No

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

Authorized official

Name

Gonzalo Mosquera, M.D.

Title

Owner

Phone

(813) 571-3311

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Nicoletti

  • Pharmacist
  • Brandon, FL
  • NPI 1154506848
  NPD (past)

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1730461989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 NIKKI VIEW DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114879",
            "telephone_number": "813-571-3311",
            "fax_number": "813-571-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 NIKKI VIEW DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114879",
            "telephone_number": "813-571-3311",
            "fax_number": "813-571-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALO MOSQUERA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "MOSQUERA",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-571-3311",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME71342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeley Gonzalez
• Viviana Solange Gonzalez, PA-C
• William Edward Gonzalez, DMD
• Yasmin G Gonzalez
• Yezenia Gonzalez, M.S.W.
• Good Life at Home Care, LLC
• Good Shepherd Alf
• Good Shepherd Assisted Living Facility of Brandon LLC
• Tamisha Good, RN
• Mohammad Goodarzi, DMD

• Specialist in Brandon, FL
• Providers in Brandon, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.