Dr Luis A Gonzalez, MD | |
270 N Sykes Creek Pkwy, Unit 108, Merritt Island, FL 32953 | |
(321) 452-1061 | |
(321) 453-0866 |
Full Name | Dr Luis A Gonzalez |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 270 N Sykes Creek Pkwy, Merritt Island, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295793628 | NPI | - | NPPES |
057773100 | Medicaid | FL | |
17673 | Other | FL | BLUE CROSS BLUE SHIELD FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME60685 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Luis A Gonzalez, MD Po Box 541216, Merritt Island, FL 32954-1216 Ph: (321) 450-1061 | Dr Luis A Gonzalez, MD 270 N Sykes Creek Pkwy, Unit 108, Merritt Island, FL 32953 Ph: (321) 452-1061 |
Mihai Radu, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 255 Fortenberry Rd, A3, Merritt Island, FL 32952 Phone: 321-453-1717 Fax: 855-816-8510 | |
Dr. Lisa A Cosgrove, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 270 N Sykes Creek Pkwy, Unit 108, Merritt Island, FL 32953 Phone: 321-452-1061 Fax: 321-453-0866 |