Individual
DR. JOEL DAVID GONZALEZ-MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3372 W SOUTHPORT RD, KISSIMMEE, FL 34746-2706
(407) 933-7900
(321) 437-0072
Mailing address
6675 WESTWOOD BLVD STE 475, ORLANDO, FL 32821-6027
(407) 845-0330
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
15596
PR
208D00000X
General Practice Physician
Primary
ACN790
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05584642
SIMPLY
FL
01
—
1136362
CAREPLUS
FL
01
—
200000039833
ULTIMATE HEALTH
FL
01
—
2938801
WEELLCARE
FL
01
—
6831972
AETNA
FL
01
—
LX2J49-AE
DEVOTED
FL
01
—
P1042908
FREEDOM
FL
01
—
P66439464
UHC
FL
01
—
P978389
OPTIMUM
FL
01
—
QMP000004790310
CIGNA
FL
01
—
T8F03
FLORIDA BLUE
FL
Enumeration date
07/26/2006
Last updated
05/31/2023
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