MEDICARE: MELCHOR GONZALEZ M.D.

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	207RI0011X	Interventional Cardiology Physician	MD-23968	HI
2	207RI0011X	Interventional Cardiology Physician	MED-PHYS-LIC-111885	MT
3	174400000X	Specialist	ME72928

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	:	1902806151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELCHOR GONZALEZ M.D.

Provider Business Mailing Address
First Line	:	61 MEMORIAL MEDICAL PKWY
Second Line	:	SUITE 3816
City	:	PALM COAST
State	:	FL
Zip	:	32164-5981
Country	:	US
Telephone Number	:	386-586-1720
Fax Number	:	386-586-5422

Provider Business Practice Location Address
First Line	:	61 MEMORIAL MEDICAL PKWY
Second Line	:	SUITE 3816
City	:	PALM COAST
State	:	FL
Zip	:	32164-5981
Country	:	US
Telephone Number	:	386-586-1720
Fax Number	:	386-586-5422

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

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	10/21/2025

Similar Medicare Providers

1023097326 — DR. JOHN J CASCONE MD
Practice Location Address:

61 MEMORIAL MEDICAL PKWY , SUITE 3805
PALM COAST, FL
32164-5981

Practice Phone: 386-586-1605
Practice Fax: 386-586-1607

1932179207 — STEVEN C. BOWER M.D.
Practice Location Address:

61 MEMORIAL MEDICAL PKWY , SUITE 3807
PALM COAST, FL
32164-5981

Practice Phone: 386-586-1780
Practice Fax: 386-586-1781

1689641433 — LARRY E. RENEKER, D.O., PA
Practice Location Address:

61 MEMORIAL MEDICAL PKWY , STE: 2804
PALM COAST, FL
32164-5981

Practice Phone: 386-586-0035
Practice Fax: 386-586-0490

1093779175 — DR. JEFFREY WARD D.O.
Practice Location Address:

61 MEMORIAL MEDICAL PKWY , SUITE 3813
PALM COAST, FL
32164-5981

Practice Phone: 386-586-1710
Practice Fax: 386-586-1711

1659325165 — ISSAM RAFIC NASR MD
Practice Location Address:

61 MEMORIAL MEDICAL PKWY , SUITE 2815
PALM COAST, FL
32164-5981

Practice Phone: 386-586-1850
Practice Fax: 386-586-1850

1952346058 — CORRINNA OAKLEY PA-C
Practice Location Address:

61 MEMORIAL MEDICAL PKWY , SUITE 2812
PALM COAST, FL
32164-5981

Practice Phone: 386-586-1860
Practice Fax: 386-586-1861

Directions to “ MELCHOR GONZALEZ M.D.” 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.