Active NPI
Eddie Gonzalez, APRN
- Primary Care Nurse Practitioner
- Weston, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 11035633
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11035633 | FL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors House Calls of Florida, LLC | Current | Accepting new patients | |
| Aresmed Health Solution LLC | Current | Accepting new patients | |
| Aresmed Emc Providers LLC | Current | Accepting new patients | |
| Pophealthcare, LLC | Current | Accepting new patients | |
| Aresmed Clinical Research Corp | Current | Accepting new patients | |
| Pophealthcare, LLC | Primary Care | Current | 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
- https://api.platform.athenahealth.com/24095/brand/1/csg/1/fhir/r4
- 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.
-
- Multi-Specialty Clinic/Center
- Weston, FL
- NPI 1912880105
-
- Internal Medicine Physician
- Stuart, FL
- NPI 1750756276
-
- Nurse Practitioner
- Jacksonville, FL
- NPI 1164943957
-
- Research Clinic/Center
- Weston, FL
- NPI 1205710134
-
- Health Service Clinic/Center
- Weston, FL
- NPI 1518841469
-
- Primary Care Nurse Practitioner
- Jacksonville, FL
- NPI 1326617150
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.