# PATRICK M. GONZALEZ, M.D., P.A.

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

## Provider details

- **NPI number:** 1851606263
- **Authorized official:** PATRICK M GONZALEZ M.D. (OWNERR)
- **Authorized official phone:** (772) 873-1005

## Contact information

- **Practice address:** 1420 SW SAINT LUCIE WEST BLVD, SUITE 102, PORT SAINT LUCIE, FL 34986-1709
- **Practice address phone:** (772) 873-1005
- **Practice address fax:** (772) 873-9106
- **Mailing address:** 1420 SW SAINT LUCIE WEST BLVD, SUITE 102, PORT SAINT LUCIE, FL 34986-1709
- **Mailing address phone:** (772) 873-1005
- **Mailing address fax:** (772) 873-9106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | ME 67553 | FL | Yes |

## Other

- **Enumeration date:** 08/10/2010
- **Last updated:** 08/10/2010