MEDICARE: MR. JOSEPH GONZALEZ ATC

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	2255A2300X	Athletic Trainer	AL4612	FL

General Provider Information

NPI Number	:	1518412436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH GONZALEZ ATC

Provider Business Mailing Address
First Line	:	3618 DOE RUN DR
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34772-8227
Country	:	US
Telephone Number	:	305-458-4820
Fax Number	:

Provider Business Practice Location Address
First Line	:	3618 DOE RUN DR
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34772-8227
Country	:	US
Telephone Number	:	305-458-4820
Fax Number	:

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

Provider Enumeration Date	:	08/20/2016
Last Update Date	:	08/20/2016

Similar Medicare Providers

1699924852 — MRS. ELLEN L. WEINBAUM CCC/SLP
Practice Location Address:

17599 HIGHWAY 8
SAINT JAMES, MO
65559-8227

Practice Phone: 573-265-0436
Practice Fax:

1912156571 — PUBLIX SUPER MARKETS INC
Practice Location Address:

3372 CANOE CREEK RD
SAINT CLOUD, FL
34772-6536

Practice Phone: 407-957-8060
Practice Fax: 407-957-6590

1053253948 — BRIDGEPOINT PSYCHIATRY LLC
Practice Location Address:

4657 GLENCREST LOOP
SAINT CLOUD, FL
34772-9015

Practice Phone: 407-801-9051
Practice Fax:

1477306223 — AYAH MANSOUR
Practice Location Address:

3702 FANCIFUL CT
SAINT CLOUD, FL
34772-8239

Practice Phone: 772-626-7092
Practice Fax:

1154270593 — DR. EZEQUIEL CARABALLO NIEBLA MD
Practice Location Address:

4160 HOLSTEIN ST
SAINT CLOUD, FL
34772-9214

Practice Phone: 407-818-9652
Practice Fax:

1861324311 — LORI K SHELL RBT
Practice Location Address:

631 WOOD DUCK CT
SAINT CLOUD, FL
34772-7029

Practice Phone: 407-419-1399
Practice Fax:

Directions to “ MR. JOSEPH GONZALEZ ATC” 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.