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 |
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 | |||||||||||||||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
GONZALEZ RAMON A | Agent | 573 GORDONIA RD, NAPLES, FL, 34108 |
Name | Role | Address |
---|---|---|
GONZALEZ RAMON A | Director | 5617 NAPLES BLVD, NAPLES, FL, 34109 |
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