Gonzalo Gonzalez (NPI# 1477621373, PAC ID# 5496735342) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1477621373 |
| PAC ID by PECOS | 5496735342 |
| Professional Enrollment ID | I20080508000296 |
| Full Name | Gonzalo Gonzalez |
| Organization Legal Name | PREMIER MEDICAL ASSOCIATES ALL FLORIDA LLC |
| Address |
10250 S Us Hwy 441 Belleview FL 34421-8204 |
| Phone Number | 3522592159 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1991 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2365418019 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100062 | MUNROE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10250 S Us Hwy 441, Belleview, FL 34421-8204 | 3522592159 | PREMIER MEDICAL ASSOCIATES ALL FLORIDA LLC |
| 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 | 3522592159 | PREMIER MEDICAL ASSOCIATES ALL FLORIDA LLC |
| Organization Legal Name | PREMIER MEDICAL ASSOCIATES ALL FLORIDA LLC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amir Etemadnia | Internal Medicine | Premier Medical Associates All Florida LLC | 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 |
| Daphne R Chester | Physician Assistant | Premier Medical Associates All Florida LLC | 13696 N Us Hwy 441, Suite 100, Lady Lake, FL 32159-6815 |
| Melchor E Madarang | Internal Medicine | Premier Medical Associates All Florida LLC | 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 |
| Lydia Enid Sanchez | Internal Medicine | Premier Medical Associates All Florida LLC | 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 |
| Evelyn Lois Harris | Nurse Practitioner | Premier Medical Associates All Florida LLC | 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 |
| Fausto R Carrasquillo | Physician Assistant | Premier Medical Associates All Florida LLC | 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 |
| Lakshmi Kollu | Internal Medicine | Premier Medical Associates All Florida LLC | 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 |
| Madhusudhan R Banda | Endocrinology | Premier Medical Associates All Florida LLC | 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 |
| Carlos R Ramirez-ramirez | Internal Medicine | Premier Medical Associates All Florida LLC | 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 |
| Sanjay Bhupendra Shah | Internal Medicine | Premier Medical Associates All Florida LLC | 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 |
| Street Address |
10250 S US HWY 441 |
| City | BELLEVIEW |
| State | FL |
| Zip | 34421-8204 |
| City | BELLEVIEW |
| Zip Code | 34421 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BELLEVIEW + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.