Active NPI
Jennifer Marie Gonzalez, PA-C, LAT, ATC
- Medical Physician Assistant
- Apopka, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9115134
- Practice address
- 225 E 7TH St
Apopka, FL 32703-5327 - Phone
- (407) 905-8827
- Fax
- (407) 886-4282
- NPI assigned
- Nov 19, 2014
- Reactivated
- Oct 28, 2021
- Last updated
- Apr 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9115134 | FL | Primary |
| Athletic Trainer | 2255A2300X | AL3861 | FL |
Addresses
Primary practice location
225 E 7TH St
Apopka, FL 32703-5327
Mailing address
110 S Woodland St
Winter Garden, FL 34787-3546
Phone (407) 905-8827
Other practice location 1
730 NW 107th Ave Ste 210
Miami, FL 33172-3104
Phone (305) 702-0336
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL3861 | FL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers, Inc | Current | Accepting new patients | |
| Community Health Centers, Inc | Current | Accepting new patients | |
| Community Health Centers, Inc | Current | Accepting new patients | |
| Impower, Inc | Medical | Past | Accepting new patients |
Locations
225 E 7th St
Apopka, FL 32703
Phone (407) 886-6201
7900 Forest City Rd
Orlando, FL 32810
Phone 40790588271001
840 Mercy Dr
Pine Hills, FL 32808
Phone 4079058827 ext. 2997
110 S Woodland St
Winter Garden, FL 34787
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Apopka, FL
- NPI 1134258684
-
- Primary Care Clinic/Center
- Leesburg, FL
- NPI 1073697355
-
- Primary Care Clinic/Center
- Orlando, FL
- NPI 1396829677
-
- Federally Qualified Health Center (FQHC)
- Orlando, FL
- NPI 1710259965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744416000000",
"number": "1952707986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S WOODLAND ST",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873546",
"telephone_number": "407-905-8827",
"fax_number": "407-905-8998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E 7TH ST",
"city": "APOPKA",
"state": "FL",
"postal_code": "327035327",
"telephone_number": "407-905-8827",
"fax_number": "407-886-4282"
}
],
"practiceLocations": [
{
"address_1": "730 NW 107th Ave Ste 210",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331723104",
"country_code": "US",
"telephone_number": "305-702-0336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PA-C, LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-19",
"last_updated": "2025-04-12",
"certification_date": "2025-04-12",
"deactivation_date": "2021-10-08",
"reactivation_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9115134",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL3861",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.