Individual provider Active NPI

Eddie Gonzalez, APRN

  • Primary Care Nurse Practitioner
  • Weston, FL
National Provider Identifier
1780404244
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11035633 Issued in FL
Practice address
16118 Opal Creek Dr
Weston, FL 33331
Phone
(305) 970-1430
NPI assigned
Oct 10, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11035633 FL Primary

Addresses

Primary practice location

16118 Opal Creek Dr
Weston, FL 33331

Mailing address

16118 Opal Creek Dr
Weston, FL 33331
Phone (305) 970-1430

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250213000099 FL Practitioner - Nurse Practitioner 9830445865 Reassigns benefits to 3 organizations
Practice locations: Weston, FL; Stuart, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors House Calls of Florida LLCGroup PAC ID 9335433465, 16 clinicians

Practice addresses (Care Compare)

1239 SE Indian St
Suite 102
Stuart, FL 34997-5633
Phone (772) 781-2207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11035633FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors House Calls of Florida, LLC CurrentSince Sep 8, 2025 Accepting new patients
Aresmed Health Solution LLC CurrentSince Jul 28, 2025 Accepting new patients
Aresmed Emc Providers LLC Current Accepting new patients
Pophealthcare, LLC CurrentSince Sep 15, 2025 Accepting new patients
Aresmed Clinical Research Corp Current Accepting new patients
Pophealthcare, LLC Primary Care CurrentSince Sep 15, 2025 Accepting new patients

Locations

10739 Deerwood Park Blvd
Ste 200
Jacksonville, FL 32256
Phone (615) 721-7024

1239 SE Indian St
Ste 102
Stuart, FL 34997
Phone (561) 900-2497

113 Seaboard Ln
Ste 200B
Franklin, TN 37067
Phone (615) 721-7020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24095/brand/1/csg/1/fhir/r4
  • Direct secure messaging: eddie.gonzalez.1@29290.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1780404244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16118 OPAL CREEK DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "33331",
            "telephone_number": "305-970-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16118 OPAL CREEK DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "33331",
            "telephone_number": "305-970-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "EDDIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11035633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.