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NPI Code Detail

MEDICARE: MATTHEW JOSEPH GONZALEZ DO

MEDICARE: MATTHEW JOSEPH 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
1207P00000XEmergency Medicine Physician346812LA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1245980838
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW JOSEPH GONZALEZ DO
Provider Business Mailing Address
First Line : 1147 NW 64TH TER
Second Line :
City : GAINESVILLE
State : FL
Zip : 32605-4218
Country : US
Telephone Number : 352-333-5168
Fax Number :
Provider Business Practice Location Address
First Line : 1147 NW 64TH TER
Second Line :
City : GAINESVILLE
State : FL
Zip : 32605-4218
Country : US
Telephone Number : 352-333-5168
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2022
Last Update Date : 02/03/2026

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Directions to “ MATTHEW JOSEPH GONZALEZ DO” Practice Location

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