Individual
PATRICK M. GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1420 SW SAINT LUCIE WEST BLVD, SUITE 102, PORT ST LUCIE, FL 34986-1709
(772) 873-1005
(772) 873-9106
Mailing address
1420 SW SAINT LUCIE WEST BLVD, SUITE 102, PORT ST LUCIE, FL 34986-1709
(772) 873-1005
(772) 873-9106
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME 67553
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377982300
—
FL
01
—
59-3362726
EMPLOYER INDENTIF. NUMBER
FL
Enumeration date
08/18/2006
Last updated
06/22/2010
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