Justo Gonzalez


Address: 2203 Garden St, Titusville, FL 32796-2577

Justo Gonzalez (NPI# 1639204019, PAC ID# 2668422833) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.

Physician Overview

Nation Provider ID (NPI) 1639204019
PAC ID by PECOS 2668422833
Professional Enrollment ID I20050126000021
Full Name Justo Gonzalez
Address 2203 Garden St
Titusville
FL 32796-2577
Gender M
Credential MD
Graduation Year 1980
Primary Specialty UROLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100028 PARRISH MEDICAL CENTER

Other Locations

Address Phone Organization
2203 Garden St, Titusville, FL 32796-2577

Organization Information

Office Location

Street Address 2203 GARDEN ST
City TITUSVILLE
State FL
Zip 32796-2577

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Competitor

Search similar physicians

City TITUSVILLE
Zip Code 32796
Specialty UROLOGY
City + Specialty TITUSVILLE + UROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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