Patrick M. Gonzalez, M.D., P.A.
LBN: Patrick M. Gonzalez, M.D., P.A.
Patrick M. Gonzalez, M.D., P.A. is an health care organization with primary practice located at 1420 Sw Saint Lucie West Blvd Suite 102, Port Saint Lucie FL 34986-1709. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty.
Patrick M. Gonzalez, M.D., P.A. can be contacted via phone (772) 873-1005, or through Gonzalez, Patrick M via phone (772) 873-1005.
Contact Information
Primary practice address
1420 Sw Saint Lucie West Blvd Suite 102
Port Saint Lucie FL 34986-1709
Phone: (772) 873-1005
Fax: (772) 873-9106
Website:
Authorized official contact:
Name: Gonzalez, Patrick M Doctor of Medicine (MD)
Phone: (772) 873-1005
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ME 67553 | Florida |
Profile Details
| NPI number | 1851606263 |
|---|---|
| LBN Legal business name | Patrick M. Gonzalez, M.D., P.A. |
| DBA Doing business as | |
| Authorized official | Gonzalez, Patrick M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2010 |
| Last updated | Aug 10th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851606263 | NPPES |
| Florida | MEDICAID | 377982300 |
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