Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kailen Gonzalez, PA

Individual provider Physician Assistant · NPI 1255607750

Kailen Gonzalez, PA is a Physician Assistant in Fort Myers, Florida. Qualified in 2011, 15 years ago. Practices with University Medical Service Association Inc, a 824-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4571 Colonial Blvd Ste 110
Fort Myers, FL 33966-1156
Phone: (786) 218-3593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2 Tampa General Cir, Tampa, FL 33606-3571 — (813) 821-8038

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 9113094 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA9113094 (FL)

Record details

NPI number1255607750
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 29, 2012
Last updated in NPPESMay 25, 2022
Certification dateMay 25, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice University Medical Service Association Inc — 824 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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