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RAMON A. GONZALEZ, D.C., P.A.

Company Details

Entity Name: RAMON A. GONZALEZ, D.C., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 14 Sep 1989 (35 years ago)
Document Number: L16242
FEI/EIN Number 650144268
Address: 5617 NAPLES BLVD, NAPLES, FL, 34109
Mail Address: 5617 NAPLES BLVD, NAPLES, FL, 34109
ZIP code: 34109
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457521650 2008-03-04 2008-03-12 5617 NAPLES BLVD, NAPLES, FL, 341092023, US 5617 NAPLES BLVD, NAPLES, FL, 341092023, US

Contacts

Phone +1 239-591-2220
Fax 2395913873

Authorized person

Name DR. RAMON ANTONIO GONZALEZ
Role PRESIDENT
Phone 2395912220

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number 5955
State FL
Is Primary Yes

Other Provider Identifiers

Issuer BCBS
Number 34919
State FL
Issuer MEDICARE GROUP NUMBER
Number K3777
State FL

Agent

Name Role Address
GONZALEZ RAMON A Agent 573 GORDONIA RD, NAPLES, FL, 34108

Director

Name Role Address
GONZALEZ RAMON A Director 5617 NAPLES BLVD, NAPLES, FL, 34109

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000114512 ZERONA NAPLES EXPIRED 2011-11-28 2016-12-31 No data 5617 NAPLES BOULEVARD, NAPLES, FL, 34109
G11000022537 DR. RAMON GONZALEZ & ASSOCIATES EXPIRED 2011-03-02 2016-12-31 No data 5617 NAPLES BOULEVARD, NAPLES, FL
G11000014512 SPINE & DISC SPECIALIST EXPIRED 2011-02-07 2016-12-31 No data 5617 NAPLES BOULEVARD, NAPLES, FL, 34109
G11000012302 SPINE & DISC INSTITUTE EXPIRED 2011-02-01 2016-12-31 No data 5617 NAPLES BOULEVARD, NAPLES, FL, 34109

Date of last update: 01 Jan 2025

Sources: Florida Department of State