Alex L Gonzales Md Pa | |
4251 Nw American Lane Ste 101 Lake City FL 32055-4881 | |
(386) 758-6143 | |
(386) 758-6046 |
Full Name | Alex L Gonzales Md Pa |
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Speciality | Internal Medicine |
Location | 4251 Nw American Lane, Lake City, Florida |
Authorized Official Name and Position | Alex L Gonzales (PHYSICIAN AND OWNER OF PRACTICE) |
Authorized Official Contact | 3867586143 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alex L Gonzales Md Pa 4251 Nw American Lane Ste 101 Lake City FL 32055-4881 Ph: (386) 758-6143 | Alex L Gonzales Md Pa 4251 Nw American Lane Ste 101 Lake City FL 32055-4881 Ph: (386) 758-6143 |
NPI Number | 1841481512 |
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Provider Enumeration Date | 08/07/2007 |
Last Update Date | 08/25/2014 |
Medicare PECOS PAC ID | 7517958309 |
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Medicare Enrollment ID | O20040520000766 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841481512 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME61910 (Florida) | Primary |
Provider Name | Alex L Gonzales |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750398822 PECOS PAC ID: 8527059336 Enrollment ID: I20120206000173 |
Provider Name | Jan - Kenneth Padilla Gonzales |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043820376 PECOS PAC ID: 3577971522 Enrollment ID: I20210413000685 |
Provider Name | Virginia Ann Ann Phillips |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659099380 PECOS PAC ID: 0941662902 Enrollment ID: I20230808003986 |
Provider Name | Daniela Restrepo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992561401 PECOS PAC ID: 9739621087 Enrollment ID: I20240603001382 |
Ernest De Leon, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4225 Nw American Ln, Lake City, FL 32055 Phone: 386-758-6141 | |
Richard Weizenecker, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1297 Sw State Road 47, Lake City, FL 32025 Phone: 386-752-4711 Fax: 386-752-5075 | |
Palms Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 173 Nw Albritton Ln, Lake City, FL 32055 Phone: 386-755-4020 Fax: 386-752-9143 | |
Artemis Billing Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 284 Sw Loren Ct, Lake City, FL 32024 Phone: 772-404-8426 Fax: 772-209-7667 | |
Internal Medicine Of Lake City , Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 334 Sw Commerce Dr, Suite 2, Lake City, FL 32025 Phone: 386-755-1703 Fax: 386-755-1744 | |
Randolph Medical Practices Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1847 Sw Barnett Way, Lake City, FL 32025 Phone: 386-755-1440 Fax: 386-758-5628 | |
Raimah Primary Care Center Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1283 Sw State Road 47, 103, Lake City, FL 32025 Phone: 386-754-0339 Fax: 386-754-0393 |