Individual
KAILEN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4571 COLONIAL BLVD STE 110, FORT MYERS, FL 33966-1156
(786) 218-3593
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9113094
FL
363AM0700X
Medical Physician Assistant
Primary
9113094
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111378700
—
FL
05
—
1434PA
—
SC
01
—
19BS6
BCBS
SC
01
—
3H9GM
BCBS
FL
01
—
80025208
SELECT HEALTH
SC
01
—
956511
WELLCARE
SC
01
—
9673961
AETNA
SC
01
—
P01074499
RAILROAD MEDICARE
SC
Enumeration date
03/29/2012
Last updated
05/25/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us