Individual
PAUL J GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3531 LITTLE RD, TRINITY, FL 34655-1811
(727) 842-9900
(727) 844-5425
Mailing address
PO BOX 1527, ELFERS, FL 34680-1527
(727) 842-9900
(727) 844-5425
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME67843
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066903200
—
FL
01
—
51220
BCBS INDIVIDUAL
FL
01
—
593371219
TAX ID
FL
01
—
74767
BCBS GROUP#
FL
01
—
DC7779
RAILROAD MEDICARE GROUP
FL
01
—
P00189718
RAILROAD MEDICARE INDIVID
FL
Enumeration date
10/25/2005
Last updated
03/18/2014
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