- Practice location
- 14254 Martin Luther King Blvd, Dover, FL 33527-4414
- Phone
- 813-653-6100
- Fax
- —
- Last updated
- November 12, 2024
Nick Andrew Gonzalez is a Physician Assistant, Medical based in Dover, FL. Nick Andrew Gonzalez practices in Dover, FL and has the professional credentials of PA-C. The NPI Number for Nick Andrew Gonzalez is 1881418275 and holds a License No. PA9119542 (FL). The current practice location address for Nick Andrew Gonzalez is 14254 Martin Luther King Blvd, Dover, FL 33527-4414 and can be reached out via phone at 813-653-6100.
Provider Profile Details
- NPI Number
- 1881418275
- Provider Name
- Nick Andrew Gonzalez
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 14254 Martin Luther King Blvd, Dover, FL 33527-4414
- Phone Number
- 813-653-6100
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 12, 2024
- Last Update Date
- November 12, 2024
- Certification Date
- November 12, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14254 Martin Luther King Blvd
Dover, FL 33527-4414 - City
- Dover
- State
- Florida
- Zip
- 33527-4414
- Phone Number
- 813-653-6100
Provider Business Mailing Address Details
- Address
- 113 Park RD
Aguadilla, PR 00603-1323 - City
- Aguadilla
- State
- PR
- Zip
- 00603-1323
- Phone Number
- 787-356-2829
License Information
- License Number
- PA9119542
- License State
- FL
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Medical providers near Dover, FL
View all Physician Assistant, Medical providers in Dover →Frequently Asked Questions
What is the NPI number of Nick A Gonzalez, PA-C?
The NPI number of Nick A Gonzalez, PA-C is 1881418275. It was assigned on November 12, 2024 and is currently active in the NPPES registry.
What is the specialty of Nick A Gonzalez, PA-C?
Nick A Gonzalez, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in FL under license number PA9119542.
Where does Nick A Gonzalez, PA-C practice?
The practice location is 14254 Martin Luther King Blvd, Dover, FL 33527-4414. The office can be reached at 813-653-6100 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881418275 directly on the NPPES registry website.