Individual
JOANNA P. GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
(813) 745-1208
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-4673
(813) 745-1208
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2244
FL
363AM0700X
Medical Physician Assistant
PA0002244
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292204500
—
FL
01
—
Y04W8
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/08/2006
Last updated
04/09/2026
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