| David Gonzalez MD PA | |
|
5037 Lake Worth Rd Greenacres FL 33463-3348 | |
| (561) 433-8911 | |
| (561) 968-8100 |
| Full Name | David Gonzalez MD PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 5037 Lake Worth Rd, Greenacres, Florida |
| Authorized Official Name and Position | David Gonzalez (OWNER) |
| Authorized Official Contact | 5614338911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Gonzalez MD PA 5037 Lake Worth Rd Greenacres FL 33463-3348 Ph: (561) 433-8911 | David Gonzalez MD PA 5037 Lake Worth Rd Greenacres FL 33463-3348 Ph: (561) 433-8911 |
| NPI Number | 1447481817 |
|---|---|
| Provider Enumeration Date | 08/04/2009 |
| Last Update Date | 08/04/2009 |
| Medicare PECOS PAC ID | 8820134687 |
|---|---|
| Medicare Enrollment ID | O20091007000773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447481817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | David Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346315348 PECOS PAC ID: 6002952868 Enrollment ID: I20091007000771 |
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