MEDICARE: PAULO GONZALEZ DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	2025043111	MO
2	2084N0400X	Neurology Physician	OP61529498	WA
3	390200000X	Student in an Organized Health Care Education/Training Program
4	2084N0400X	Neurology Physician	LL51987	SC
5	2084N0008X	Neuromuscular Medicine (Psychiatry & Neurology) Physician	34.017903	OH
6	208M00000X	Hospitalist Physician	OS20973	FL
7	2084N0400X	Neurology Physician	OS20973	FL
8	2084N0400X	Neurology Physician	DO219289	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033606660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULO GONZALEZ DO

Provider Business Mailing Address
First Line	:	169 ASHLEY AVE RM 202
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29425-6624
Country	:	US
Telephone Number	:	843-792-3222
Fax Number	:

Provider Business Practice Location Address
First Line	:	11215 METRO PKWY STE 100
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33966-1206
Country	:	US
Telephone Number	:	239-208-2206
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2018
Last Update Date	:	06/26/2026

Similar Medicare Providers

1710488366 — RONAK BHARATKUMAR PATEL DO
Practice Location Address:

11215 METRO PKWY STE 100
FORT MYERS, FL
33966-1206

Practice Phone: 239-208-2206
Practice Fax:

1518961531 — ROBERT G JACOBY M.D.
Practice Location Address:

11215 METRO PKWY STE 100
FORT MYERS, FL
33966-1206

Practice Phone: 239-208-2212
Practice Fax: 239-208-3994

1831199850 — DR. RICHARD PAUL NEWMAN M.D.
Practice Location Address:

11215 METRO PKWY STE 1
FORT MYERS, FL
33966-1206

Practice Phone: 239-208-2212
Practice Fax:

1770575656 — CHRISTOPHER JON BIXLER MD
Practice Location Address:

11215 METRO PKWY STE 1
FORT MYERS, FL
33966-1206

Practice Phone: 239-208-2212
Practice Fax: 239-208-3994

1881684074 — DR. SHUBHANGI ATUL CHUMBLE M.D.
Practice Location Address:

11215 METRO PKWY STE 1
FORT MYERS, FL
33966-1206

Practice Phone: 239-208-2212
Practice Fax: 239-208-3994

1740253822 — DR. JULIE B SEIBERT MD
Practice Location Address:

11215 METRO PKWY STE 100
FORT MYERS, FL
33966-1206

Practice Phone: 239-208-2206
Practice Fax:

Directions to “ PAULO GONZALEZ DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.