# ALEX L GONZALES MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841481512
- **Authorized official:** DR. ALEX L GONZALES MD PA (PHYSICIAN AND OWNER OF PRACTICE)
- **Authorized official phone:** (386) 758-6143

## Contact information

- **Practice address:** 4251 NW AMERICAN LANE, STE 101, LAKE CITY, FL 32055-4881
- **Practice address phone:** (386) 758-6143
- **Practice address fax:** (386) 758-6046
- **Mailing address:** 4251 NW AMERICAN LANE, STE 101, LAKE CITY, FL 32055-4881
- **Mailing address phone:** (386) 758-6143
- **Mailing address fax:** (386) 758-6046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME61910 | FL | Yes |

## Other

- **Enumeration date:** 08/07/2007
- **Last updated:** 08/25/2014