| Amanda Luisa Gonzalez, | |
|
13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818 | |
| (239) 343-1105 | |
| (239) 343-4259 |
| Full Name | Amanda Luisa Gonzalez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 13340 Metro Pkwy Ste 400, Fort Myers, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245944453 | NPI | - | NPPES |
| 127544500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN1104332 (Florida) | Primary |
| 163WE0003X | Registered Nurse - Emergency | RN9527732 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lee Memorial Hospital | Fort myers, FL | Hospital |
| Cape Coral Hospital | Cape coral, FL | Hospital |
| Gulf Coast Medical Center | Fort myers, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lee Health System Inc | 9335672146 | 1381 |
| Entity Name | Lee Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942058557 PECOS PAC ID: 9335672146 Enrollment ID: O20241114001576 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Luisa Gonzalez, Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-1105 | Amanda Luisa Gonzalez, 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818 Ph: (239) 343-1105 |
Dr. Otniel Hernandez, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 43 Barkley Cir Ste 201, Fort Myers, FL 33907 Phone: 239-603-7303 Fax: 239-603-7107 |
Pamela Lynn Cooper, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12734 Kenwood Ln, Suite 84, Fort Myers, FL 33907 Phone: 866-936-5250 |
Violeta Fay Marie Calhoun, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9369 Golden Rain Ln, Fort Myers, FL 33967 Phone: 239-410-6584 Fax: 727-954-6546 |
Ivon Gonzalez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13691 Metro Pkwy Ste 420, Fort Myers, FL 33912 Phone: 239-215-4064 Fax: 239-215-4063 |
Sandra L Allen, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4771 S Cleveland Ave, Fort Myers, FL 33907 Phone: 239-343-9800 Fax: 239-343-9848 |
Sarah Elizabeth Long, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9241 Park Royal Dr, Fort Myers, FL 33908 Phone: 239-985-2700 |
Jaqueline Sousa Carvalho, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12651 Whitehall Dr, Fort Myers, FL 33907 Phone: 239-424-2030 Fax: 239-343-4117 |