Active NPI 1992071252 Individual Practitioner Male Practitioner

Dr. Ricardo Dario Gonzalez , MD

Urology • Bradenton, FL

Professional Overview & Biography Verified Profile Summary

Dr. Ricardo Gonzalez, MD is a registered healthcare professional specializing in Urology in Bradenton, FL. Practice services are available at 200 3RD AVE W STE 210 under active NPI credentials.

Frequently performed procedures and clinical services include bcg live intravesical instillation, 1 mg, automated urinalysis test, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 3rd Ave W Ste 210

Bradenton, FL 342058633

Telephone 9417920340

Fax 9417942251

Associated Practice Facility / Clinic

🏢 Fuo Llc Facility NPI 1083150114

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Bradenton, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 31.4 Yrs

State Avg: 29.7 Yrs

Regional Practice Density

12 Specialists

Practicing in Bradenton, FL (1082 Statewide)

Telehealth Adoption Rate

41.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	2,001	12	$8.58	$2.84
81003 Automated urinalysis test	389	251	$9.79	$2.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	284	208	$319.91	$125.28
52000 Diagnostic exam of bladder and urethra using an endoscope	102	88	$417.45	$80.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$500.75	$164.60
99213 Established patient office or other outpatient visit, typically 15 minutes	50	45	$215.84	$88.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	42	$431.05	$175.58
51720 Instillation of anti-cancer drug into bladder	42	13	$362.74	$85.87
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	39	13	$197.87	$50.46
51798 Ultrasound measurement of bladder capacity after voiding	32	30	$60.28	$10.23
74420 Imaging of urinary tract	15	12	$70.66	$23.95
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	13	13	$462.92	$201.67
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$653.70	$217.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	2,450	11	$8.58	$2.81
81003 Automated urinalysis test	694	411	$9.79	$2.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	479	334	$320.29	$126.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	137	137	$500.75	$167.33
52000 Diagnostic exam of bladder and urethra using an endoscope	132	115	$414.97	$81.62
J3315 Injection, triptorelin pamoate, 3.75 mg	97	12	$990.53	$352.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	94	72	$431.05	$179.20
51720 Instillation of anti-cancer drug into bladder	49	11	$362.74	$86.92
99213 Established patient office or other outpatient visit, typically 15 minutes	33	30	$215.84	$89.91
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	33	17	$106.95	$32.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$653.70	$220.76
76775 Limited ultrasound scan behind abdominal cavity	30	30	$343.20	$53.36
51798 Ultrasound measurement of bladder capacity after voiding	29	28	$60.28	$10.11
76856 Complete ultrasound scan of pelvis	29	28	$383.53	$105.74
74420 Imaging of urinary tract	29	26	$64.34	$24.66
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	27	25	$60.71	$22.46
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	18	17	$935.76	$365.17
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	18	17	$635.32	$32.18
51797 Insertion of device into abdomen with pressure and urine flow rate study	17	16	$415.00	$193.77
55700 Biopsy of prostate gland	17	17	$458.00	$131.90
76872 Ultrasound scan of pelvic region through rectum	17	17	$115.39	$32.38
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	16	$164.69	$52.12
51741 Electronic assessment of bladder emptying	16	15	$132.27	$7.90
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	14	14	$2755.66	$741.09
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	14	$606.54	$123.07
36415 Insertion of needle into vein for collection of blood sample	11	11	$9.29	$2.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	617	395	$319.91	$129.38
81003 Automated urinalysis test	582	367	$9.79	$2.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	143	143	$500.75	$169.08
52000 Diagnostic exam of bladder and urethra using an endoscope	139	127	$414.97	$81.97
J3315 Injection, triptorelin pamoate, 3.75 mg	96	12	$990.53	$433.75
76856 Complete ultrasound scan of pelvis	68	66	$383.53	$107.84
76775 Limited ultrasound scan behind abdominal cavity	66	61	$343.20	$53.61
99213 Established patient office or other outpatient visit, typically 15 minutes	52	51	$217.84	$90.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	40	$431.05	$181.61
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	33	25	$60.71	$22.18
74420 Imaging of urinary tract	32	29	$58.45	$25.04
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	28	20	$106.95	$31.88
36415 Insertion of needle into vein for collection of blood sample	26	25	$9.29	$3.00
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$653.70	$223.49
55700 Biopsy of prostate gland	24	24	$458.00	$131.23
76872 Ultrasound scan of pelvic region through rectum	22	22	$111.35	$32.94
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	17	17	$2755.66	$691.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$421.42	$136.97
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	13	$1335.95	$427.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$218.59	$72.18
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	11	$615.28	$96.00
51741 Electronic assessment of bladder emptying	13	13	$132.27	$12.11
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$121.45	$38.52
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$164.69	$52.42
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	12	12	$635.32	$33.02
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	11	11	$956.45	$228.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	655	377	$319.91	$108.51
81003 Automated urinalysis test	502	327	$9.79	$2.22
51798 Ultrasound measurement of bladder capacity after voiding	134	116	$60.28	$10.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	130	130	$502.23	$164.69
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	96	18	$684.76	$226.68
52000 Diagnostic exam of bladder and urethra using an endoscope	87	74	$414.97	$84.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	68	62	$431.05	$145.94
99213 Established patient office or other outpatient visit, typically 15 minutes	59	56	$215.84	$74.90
74420 Imaging of urinary tract	46	42	$114.61	$25.79
76856 Complete ultrasound scan of pelvis	39	38	$383.53	$100.05
76775 Limited ultrasound scan behind abdominal cavity	38	33	$343.20	$55.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	22	$222.21	$73.36
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	28	26	$60.71	$22.62
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	28	27	$164.69	$53.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$421.42	$140.78
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	22	20	$106.95	$30.88
76770 Complete ultrasound scan behind abdominal cavity	21	21	$411.06	$107.17
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	18	$615.28	$106.63
51741 Electronic assessment of bladder emptying	19	18	$132.27	$14.00
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	16	$1335.95	$453.45
51702 Simple insertion of temporary bladder tube	14	12	$237.89	$60.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$616.37	$206.07
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	14	14	$2755.66	$765.22
36415 Insertion of needle into vein for collection of blood sample	13	13	$9.29	$2.98
76000 Imaging guidance for procedure, 60 minutes or less	13	13	$26.80	$15.89
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$653.70	$208.88
55700 Biopsy of prostate gland	11	11	$458.00	$130.03
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$377.70	$40.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	2,640	17	$44.70	$18.75
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,575	21	$0.49	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	494	325	$320.64	$106.40
81003 Automated urinalysis test	470	321	$9.79	$2.43
51798 Ultrasound measurement of bladder capacity after voiding	249	198	$60.28	$12.21
J9280 Injection, mitomycin, 5 mg	160	13	$203.46	$112.31
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	133	26	$633.27	$213.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	122	103	$431.05	$144.28
52000 Diagnostic exam of bladder and urethra using an endoscope	109	97	$414.97	$84.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	108	108	$500.75	$162.73
76856 Complete ultrasound scan of pelvis	93	90	$250.11	$54.56
76770 Complete ultrasound scan behind abdominal cavity	84	81	$271.74	$64.85
99213 Established patient office or other outpatient visit, typically 15 minutes	80	71	$215.84	$73.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	37	$218.59	$69.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$324.52	$107.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	50	$421.42	$137.78
51741 Electronic assessment of bladder emptying	47	47	$124.78	$11.89
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	37	31	$106.95	$29.83
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	35	35	$60.71	$22.06
51702 Simple insertion of temporary bladder tube	34	30	$237.89	$61.10
74176 Ct scan of abdomen and pelvis without contrast	32	32	$666.33	$195.31
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	24	$164.69	$52.50
52332 Insertion of stent in urinary duct (ureter) using an endoscope	25	22	$615.28	$133.23
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	25	17	$223.11	$76.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	22	$616.37	$203.04
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	23	13	$395.30	$124.10
74420 Imaging of urinary tract	23	20	$58.45	$25.84
51720 Instillation of anti-cancer drug into bladder	22	14	$362.74	$83.86
76872 Ultrasound scan of pelvic region through rectum	21	21	$358.90	$95.63
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	21	20	$574.92	$183.00
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	19	19	$132.36	$32.29
76872 Ultrasound scan of pelvic region through rectum	19	19	$111.35	$33.53
51700 Simple bladder irrigation and/or instillation	19	11	$272.77	$73.46
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	18	17	$352.98	$18.74
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	17	16	$2755.66	$740.37
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$653.70	$206.06
52000 Diagnostic exam of bladder and urethra using an endoscope	15	15	$650.81	$187.02
55700 Biopsy of prostate gland	15	15	$458.00	$135.42
74178 Ct scan of abdomen and pelvis before and after contrast	15	15	$1315.51	$348.00
76870 Ultrasound scan of scrotum	14	12	$252.88	$57.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	12	$70.96	$16.30
51797 Insertion of device into abdomen with pressure and urine flow rate study	13	12	$255.38	$69.89
52204 Biopsy of the bladder using an endoscope	12	11	$467.29	$81.47
52005 Insertion of tube into ureter using an endoscope through bladder area	12	12	$439.66	$56.05
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$1335.95	$433.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,850	38	$0.49	$0.12
J0897 Injection, denosumab, 1 mg	1,380	12	$44.70	$17.88
81003 Automated urinalysis test	428	283	$9.79	$2.71
82570 Creatinine level to test for kidney function or muscle injury	409	272	$22.55	$6.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	338	239	$320.45	$106.60
51798 Ultrasound measurement of bladder capacity after voiding	277	216	$60.28	$15.33
99213 Established patient office or other outpatient visit, typically 15 minutes	116	96	$216.78	$72.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$502.28	$164.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	76	67	$431.05	$141.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	71	66	$421.42	$137.97
J3315 Injection, triptorelin pamoate, 3.75 mg	66	16	$990.53	$257.65
52000 Diagnostic exam of bladder and urethra using an endoscope	58	57	$414.97	$82.57
51741 Electronic assessment of bladder emptying	57	56	$117.51	$10.26
76770 Complete ultrasound scan behind abdominal cavity	57	55	$345.03	$76.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	32	$218.59	$73.29
74176 Ct scan of abdomen and pelvis without contrast	45	44	$666.33	$192.77
74178 Ct scan of abdomen and pelvis before and after contrast	36	36	$1315.51	$328.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$324.52	$107.59
76856 Complete ultrasound scan of pelvis	31	29	$280.64	$52.96
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	27	21	$106.95	$28.70
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	23	$561.69	$122.36
76872 Ultrasound scan of pelvic region through rectum	26	26	$415.38	$82.64
51797 Insertion of device into abdomen with pressure and urine flow rate study	23	22	$290.83	$65.16
52000 Diagnostic exam of bladder and urethra using an endoscope	23	21	$667.66	$164.67
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	22	22	$714.77	$192.03
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$653.70	$207.04
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	19	18	$435.67	$18.93
76872 Ultrasound scan of pelvic region through rectum	18	18	$111.35	$31.96
55700 Biopsy of prostate gland	18	18	$458.00	$135.96
51702 Simple insertion of temporary bladder tube	17	17	$237.89	$63.43
J9031 Bcg (intravesical) per instillation	17	12	$370.46	$136.01
51720 Instillation of anti-cancer drug into bladder	17	12	$362.74	$84.04
52356 Crushing of stone of ureter with insertion of stent using an endoscope	17	16	$1335.95	$433.64
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	14	$164.69	$53.12
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	14	13	$223.11	$77.63
76700 Ultrasound of abdomen	12	11	$360.68	$69.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	67	55	$9.79	$3.02
82570 Creatinine level to test for kidney function or muscle injury	58	48	$22.55	$6.96
51798 Ultrasound measurement of bladder capacity after voiding	53	47	$60.28	$18.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$503.81	$163.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$319.91	$106.03
52000 Diagnostic exam of bladder and urethra using an endoscope	25	25	$414.97	$97.68
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$229.72	$72.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$431.05	$143.04
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$653.70	$205.66

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License FL ME130265

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners

Dr. Mark Weintraub , MD

Urology

NPI 1053342386

Doctor of Medicine (M.D.)

Catherine Mcging , ARNP

Nurse Practitioner

NPI 1295869535

Advanced Registered Nurse Practitioner

Mary Shields , PA-C

Physician Assistant

NPI 1356934962

Physician Assistant (Certified)

Dr. Sean Castellucci , DO

Urology

NPI 1487869400

Doctor of Osteopathic Medicine (D.O.)

Dr. George Hill , MD

Urology

NPI 1588696421

Doctor of Medicine (M.D.)

Dr. Mitchell Yadven , MD

Urology

NPI 1679503353

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

✅

NPI Profile Active September 25, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address September 25, 2017

Registered at 2160 COLONIAL BLVD, FORT MYERS, FL 339071410 (Tel: (239) 931-7342)

📍

Updated Practice Location September 25, 2017

Registered at 200 3RD AVE W STE 210, BRADENTON, FL 342058633 (Tel: 9417920340)

👤

Provider Name / Credentials Updated September 25, 2017

Recorded as RICARDO GONZALEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2017

Urology (License #ME130265 in FL)

📍

Updated Practice Location July 17, 2017

Registered at 200 3RD AVE W STE 210, BRADENTON, FL 342058633 (Tel: 9417920340)

📍

Updated Business Mailing Address July 17, 2017

Registered at 200 3RD AVE W STE 210, BRADENTON, FL 342058633 (Tel: (352) 871-6919)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2017

Urology (License #ME130265 in FL)

✅

NPI Profile Active March 30, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 30, 2012

Registered at 12901 BRUCE B DOWNS BLVD # 41, TAMPA, FL 336124742 (Tel: 8138447412)

📍

Updated Business Mailing Address March 30, 2012

Registered at 12901 BRUCE B DOWNS BLVD # 41, TAMPA, FL 336124742 (Tel: 3528716919)

👤

Provider Name / Credentials Updated March 30, 2012

Recorded as RICARDO GONZALEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2012

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration March 30, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1992071252

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 30, 2012

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2160 Colonial Blvd

Fort Myers, FL 339071410

Phone: 2399317342

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.