Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
GONZALO A GONZALEZ MD PA
Active
Organization
GONZALO A GONZALEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELENA BOUSQUET GALBIS (BILLING/CONTRACTING)
(863) 686-0989
Entity
Organization
Contact information
Practice address
1653 SUN CITY CENTER PLZ, SUITE 1002, SUN CITY CENTER, FL 33573-5394
(813) 633-6550
(813) 633-6551
Mailing address
PO BOX 2179, BRANDON, FL 33509-2179
(813) 633-6550
(813) 633-6551
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0062211
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110215139
RR MEDICARE
FL
01
—
18166
BS FL
FL
05
—
260463901
—
FL
Enumeration date
06/03/2009
Last updated
06/03/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up