IndividualActive
Luisa Gonzalez, PA-C, LMT
NPI 1629588702 · Medical Physician Assistant · Clearwater, FL
Provider details
- NPI number
- 1629588702
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C, LMT
- Sex
- Female
- Sole proprietor
- No
- License
- MA76892 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
14100 58th St N
Clearwater, FL 33760-9900
Phone: (727) 824-8181
Approximate (ZIP-level) locationGet directions
Mailing address
14100 58th St N
Clearwater, FL 33760-9900
Registry dates
- Enumerated
- 2017-10-03
- Last updated
- 2025-08-19
- Certified
- 2025-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.