| E. Gonzalez MD PA | |
|
4755 Summerlin Rd Ste 8 Fort Myers FL 33919-1073 | |
| (239) 275-5339 | |
| (239) 275-5592 |
| Full Name | E. Gonzalez MD PA |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4755 Summerlin Rd Ste 8, Fort Myers, Florida |
| Authorized Official Name and Position | E Gonzalez (OWNER/DOCTOR) |
| Authorized Official Contact | 2392755339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E. Gonzalez MD PA 4755 Summerlin Rd Ste 8 Fort Myers FL 33919-1073 Ph: (239) 275-5339 | E. Gonzalez MD PA 4755 Summerlin Rd Ste 8 Fort Myers FL 33919-1073 Ph: (239) 275-5339 |
| NPI Number | 1982908760 |
|---|---|
| Provider Enumeration Date | 01/07/2011 |
| Last Update Date | 01/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982908760 | NPI | - | NPPES |
| 036797400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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