Gonzalo a Gonzalez MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0062211 Issued in FL

Legal business name

GONZALO A GONZALEZ MD PA

Practice address

1653 Sun City Center PLZ
Suite 1002
Sun City Center, FL 33573-5394

Phone

(813) 633-6550

Fax

(813) 633-6551

NPI assigned

Jun 3, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Elena Bousquet Galbis

Title

Billing/Contracting

Phone

(863) 686-0989

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1992931034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2179",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335092179",
            "telephone_number": "813-633-6550",
            "fax_number": "813-633-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 SUN CITY CENTER PLZ",
            "address_2": "SUITE 1002",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735394",
            "telephone_number": "813-633-6550",
            "fax_number": "813-633-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALO A GONZALEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "GALBIS",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "BOUSQUET",
        "authorized_official_title_or_position": "BILLING/CONTRACTING",
        "authorized_official_telephone_number": "863-686-0989",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0062211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110215139",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS FL",
            "identifier": "18166",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260463901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronika Ghobrial
• Kimberly A. Giffard, M.D.
• Kayla Ginter
• David T Goldsberry, M.D.
• Michelle Andrea Gonzalez
• Jennifer Goolsby, DPT
• Roger Gray, PA-C
• Michelle Ann Greer, OTR/L, CHT
• Gregory L Henderson MD Facs Inc
• Melissa Guigliano, MS, OTR/L

• All providers in Sun City Center, FL
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.