E. Gonzalez Md Pa

LBN: E. Gonzalez Md Pa
E. Gonzalez Md Pa is an health care organization with primary practice located at 4755 Summerlin Rd Ste 8 , Fort Myers FL 33919-1073. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. E. Gonzalez Md Pa can be contacted via phone (239) 275-5339, or through Gonzalez, E via phone (239) 275-5339.

Contact Information

Primary practice address
4755 Summerlin Rd Ste 8 Fort Myers FL 33919-1073
Phone: (239) 275-5339
Fax: (239) 275-5592
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, E MD PA
Phone: (239) 275-5339

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1982908760
LBN Legal business name E. Gonzalez Md Pa
DBA Doing business as
Authorized official Gonzalez, E MD PA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2011
Last updated Jan 7th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982908760 NPPES
Florida MEDICAID 036797400

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