Dr Eduardo Luis Gonzalez, MD | |
4400 E Highway 20 Ste 209, Niceville, FL 32578-7700 | |
(850) 389-8091 | |
(850) 389-8092 |
Full Name | Dr Eduardo Luis Gonzalez |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 4400 E Highway 20 Ste 209, Niceville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881752616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME102584 (Florida) | Primary |
Entity Name | Small Hospital Innovations |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184040560 PECOS PAC ID: 0840415444 Enrollment ID: O20140715000513 |
Entity Name | App Of Florida Ed, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407338932 PECOS PAC ID: 7012252299 Enrollment ID: O20181217000426 |
Mailing Address | Practice Location Address |
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Dr Eduardo Luis Gonzalez, MD 4400 E Highway 20 Ste 209, Niceville, FL 32578-7700 Ph: (850) 389-8091 | Dr Eduardo Luis Gonzalez, MD 4400 E Highway 20 Ste 209, Niceville, FL 32578-7700 Ph: (850) 389-8091 |
Ms. Julie Anne Staats, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Partin Dr N, Ste 120, Niceville, FL 32578 Phone: 850-279-3040 | |
Dr. Kathy J. Green, M.D., M.P.H. Family Medicine Medicare: Medicare Enrolled Practice Location: 4586 E Highway 20, Suite B, Niceville, FL 32578 Phone: 850-897-3200 | |
Steven Lester Clark, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4586 E Highway 20, Suite B, Niceville, FL 32578 Phone: 850-897-3200 Fax: 850-897-2353 | |
Dr. Pat Thomas Tidwell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4400 E Highway 20 Ste 203, Niceville, FL 32578 Phone: 850-897-3678 Fax: 850-373-4544 | |
Dr. Allan L. Fedosky, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4554 E Highway 20, Niceville, FL 32578 Phone: 850-897-1824 Fax: 850-897-1827 | |
Wayne P Justice, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1003 College Blvd W, Ste 2, Niceville, FL 32578 Phone: 850-678-0443 Fax: 850-678-7999 | |
Dr. Mark Steven Harber, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 John Sims Pkwy E, Niceville, FL 32578 Phone: 850-729-8050 |