Individual ProviderEduardo GonzalezFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address13330 Usf Laurel Dr, Tampa, FL 33612-6601(813) 821-8014PECOS EnrollmentBased on the most recent information from CMS, provider Eduardo Gonzalez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:16 AM.Profile DetailsProvider ID1235167214Provider TypeIndividualFull NameGonzalez, EduardoCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/29/2006Last Updated4/22/2025Contact InformationPractice LocationPractice Address13330 Usf Laurel Dr, Tampa, FL 33612-6601Phone(813) 821-8014Fax(813) 821-9749Mailing LocationMailing AddressPO Box 917770, Orlando, FL 32891-0001PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseME0062920FloridaProvider IdentifiersIDDescriptionIssuerID375956300DescriptionMedicaidIssuerUnlistedFloridaID25781DescriptionOtherIssuerBLUE CROSS BLUE SHIELDFlorida