| Manuel Domenick Gonzalez, ARNP | |
|
4278 W Linebaugh Ave, Tampa, FL 33624-5241 | |
| (813) 977-0733 | |
| (813) 971-2230 |
| Full Name | Manuel Domenick Gonzalez |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | 4278 W Linebaugh Ave, Tampa, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235261900 | NPI | - | NPPES |
| ARNP 2908822 | Other | FL | NURSE PRACTITIONER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP 2908822 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New Smyrna Beach Urgent Care, Llc | 8426184128 | 11 |
| Entity Name | New Smyrna Beach Urgent Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801126297 PECOS PAC ID: 8426184128 Enrollment ID: O20100406000242 |
| Entity Name | Community Health Of Tallahassee Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952687923 PECOS PAC ID: 1658539333 Enrollment ID: O20120227000615 |
| Entity Name | Rockledge Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306200522 PECOS PAC ID: 5092006619 Enrollment ID: O20160628002737 |
| Mailing Address | Practice Location Address |
|---|---|
| Manuel Domenick Gonzalez, ARNP 4278 W Linebaugh Ave, Tampa, FL 33624-5241 Ph: (813) 977-0733 | Manuel Domenick Gonzalez, ARNP 4278 W Linebaugh Ave, Tampa, FL 33624-5241 Ph: (813) 977-0733 |
Charmaine Henry, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15511 N Florida Ave Ste 401, Tampa, FL 33613 Phone: 813-963-3124 Fax: 813-908-7808 | |
Ms. Bridget Shoulders-odom, MS, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Bld, Tampa, FL 33612 Phone: 813-972-2000 | |
Ms. Rhea Arlene Hurwitz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3001 W Martin Luther King Boulevard, Tampa, FL 33607 Phone: 813-554-8511 | |
Dr. Leigh Nicole Montejo, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9527 Delaney Creek Blvd, Tampa, FL 33619 Phone: 813-615-5230 | |
Mrs. Dawn Elizabeth White, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2901 W Saint Isabel St, Suite A3, Tampa, FL 33607 Phone: 813-872-4401 | |
Crystal Elaine Blair, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000 | |
Courtney Pariso, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 E 138th Ave, Suite 12, Tampa, FL 33613 Phone: 813-975-2800 Fax: 813-977-7631 |