MEDICARE: MARK GONZALEZ HIS

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	237700000X	Hearing Instrument Specialist	AS5748	FL

General Provider Information

NPI Number	:	1144008848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK GONZALEZ HIS

Provider Business Mailing Address
First Line	:	750 N COMMONS DR STE 200
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60504-7940
Country	:	US
Telephone Number	:	630-303-5380
Fax Number	:	630-303-5385

Provider Business Practice Location Address
First Line	:	1958 STATE ROAD 44
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32168-8347
Country	:	US
Telephone Number	:	386-423-9099
Fax Number	:	386-423-8265

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

Provider Enumeration Date	:	09/15/2023
Last Update Date	:	09/15/2023

Similar Medicare Providers

1871846907 — CONNECT HEARING, INC.
Practice Location Address:

1958 STATE ROAD 44
NEW SMYRNA, FL
32168-8347

Practice Phone: 386-423-9099
Practice Fax: 386-423-8265

1013420959 — KRISTINE TERRELL
Practice Location Address:

1958 STATE ROAD 44
NEW SMYRNA BEACH, FL
32168-8347

Practice Phone: 386-423-9099
Practice Fax: 386-423-8265

1609325927 — DANIEL MATOS
Practice Location Address:

2636 STATE ROUTE 32
NEW WINDSOR, NY
12553-8347

Practice Phone: 845-562-5292
Practice Fax:

1962099911 — MICHAEL MARTINEZ PHARMD
Practice Location Address:

2636 STATE ROUTE 32
NEW WINDSOR, NY
12553-8347

Practice Phone: 845-562-5292
Practice Fax:

1104541721 — ASHLEY MABEL SORTO
Practice Location Address:

8347 VERONA DR
NEW CARROLLTON, MD
20784-3419

Practice Phone: 240-762-8870
Practice Fax:

1326156621 — DR. VICTOR DEA DMD
Practice Location Address:

1015 GATEWAY BLVD STE 503
BOYNTON BEACH, FL
33426-8347

Practice Phone: 561-369-5430
Practice Fax:

Directions to “ MARK GONZALEZ HIS” 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.