MEDICARE: JOVANI M. GONZALEZ, D.D.S., PA

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	122300000X	Dentist

General Provider Information

NPI Number	:	1083565634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOVANI M. GONZALEZ, D.D.S., PA

Provider Business Mailing Address
First Line	:	3809 ARELIA DR S
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-5734
Country	:	US
Telephone Number	:	954-394-8176
Fax Number	:

Provider Business Practice Location Address
First Line	:	6809 S DIXIE HWY
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-4602
Country	:	US
Telephone Number	:	561-585-2006
Fax Number	:	561-585-2018

Authorized Official
Title or Position	:	OWNER DENTIST
Name	:	DR. JOVANI MIGUEL GONZALEZ
Credential	:	DDS
Telephone Number	:	954-394-8176

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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