Gonzalez & Michael Medical Assoc., P.a. | |
5411 Grand Blvd Suite 101 New Port Richey FL 34652-4011 | |
(727) 842-3600 | |
(727) 845-0732 |
Full Name | Gonzalez & Michael Medical Assoc., P.a. |
---|---|
Speciality | Internal Medicine |
Location | 5411 Grand Blvd, New Port Richey, Florida |
Authorized Official Name and Position | Ehab Michael (PRESIDENT) |
Authorized Official Contact | 7278423600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gonzalez & Michael Medical Assoc., P.a. 5411 Grand Blvd Suite 101 New Port Richey FL 34652-4011 Ph: (727) 842-3600 | Gonzalez & Michael Medical Assoc., P.a. 5411 Grand Blvd Suite 101 New Port Richey FL 34652-4011 Ph: (727) 842-3600 |
NPI Number | 1568557742 |
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Provider Enumeration Date | 10/04/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568557742 | NPI | - | NPPES |
74767 | Other | FL | BLUE CROSS BLUE SHIELD |
1453891 | Other | FL | UHC GROUP |
DC7779 | Other | FL | RAIL ROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME39308 (Florida) | Primary |
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