Physician Compare National (NPI:1952593634)

HEALTHCARE PROVIDER: ANGEL R. GONZALEZ-RODRIGUEZ MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1952593634
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7517011265
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090815000027
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GONZALEZ RODRIGUEZ
	Individual professional last name
Provider First Name	ANGEL
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PONCE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	FLORIDA MEDICAL CLINIC LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9931003068
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	386
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2352 BRUCE B DOWNS BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 206
	Group Practice or individual's line 2 address
City	WESLEY CHAPEL
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	335449203
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8135284843
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100046
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FLORIDA HOSPITAL ZEPHYRHILLS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100319
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	FLORIDA HOSPITAL WESLEY CHAPEL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100007
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	FLORIDA HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y