Punam Gopal, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9111211 Issued in FL

Practice address

6340 Fort King Rd
Zephyrhills, FL 33542-2531

Phone

(813) 782-6116

Fax

(813) 780-1015

NPI assigned

Mar 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Zephyrhills Hospital, Zephyrhills, FL, CCN 100046
• Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
• Adventhealth Dade City Hospital, Dade City, FL, CCN 100211

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: pgopal4530324@adventhealth.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Hospital Physician Group Inc

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256
  Medicare reassignment Care Compare group
• Coral Ridge Gastroenterology Associates LLC

  • Gastroenterology Physician
  • Ft Lauderdale, FL
  • NPI 1265628424
  Medicare reassignment
• Gastroenterology Assoc PA

  • Specialist
  • Oakland Park, FL
  • NPI 1134325921
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Florida Hospital Dade City Inc

  • General Acute Care Hospital
  • Dade City, FL
  • NPI 1215444054
  Care Compare affiliation
• Florida Hospital Zephyrhills Inc

  • General Acute Care Hospital
  • Zephyrhills, FL
  • NPI 1346354677
  Care Compare affiliation
• University Community Hospital, Inc

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1053321919
  Care Compare affiliation
• University Community Hospital, Inc

  • Clinical Medical Laboratory
  • Tampa, FL
  • NPI 1134766694

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1780187716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 BROADWAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334074841",
            "telephone_number": "561-842-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 FORT KING RD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335422531",
            "telephone_number": "813-782-6116",
            "fax_number": "813-780-1015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3507 Broadway",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334074841",
            "country_code": "US",
            "telephone_number": "561-842-8848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOPAL",
        "first_name": "PUNAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduardo Gonzalez-Perez, MD
• Angel R. Gonzalez-Rodriguez, MD
• Dominic Gonzalez, MD
• Jorge Eduardo Gonzalez, RPH.
• Deonna Marie Gonzalo, MSN, APRN, AGNP
• Sharon Barbara Grant
• Alyce Greenwood, APRN
• Elizabeth Marie Greer
• Allison Wood Griffin, MD
• Growing Minds Psychology LLC

• Physician Assistant in Zephyrhills, FL
• Providers in Zephyrhills, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.

Verify at the official NPI Registry.