MEDICARE: DR. ALBERTO JOSE GONZALEZ MD

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	2086S0129X	Vascular Surgery Physician	27074	AL
2	2086S0129X	Vascular Surgery Physician	ME108367	FL

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	:	1205863842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALBERTO JOSE GONZALEZ MD

Provider Business Mailing Address
First Line	:	2405 SE 17TH ST STE 201
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34471-9190
Country	:	US
Telephone Number	:	352-690-2171
Fax Number	:	352-690-6954

Provider Business Practice Location Address
First Line	:	1500 SE MAGNOLIA EXT STE 204
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34471-4461
Country	:	US
Telephone Number	:	352-351-1022
Fax Number	:	352-351-1372

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

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	01/31/2022

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Directions to “ DR. ALBERTO JOSE GONZALEZ MD” Practice Location

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