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

Phillip Gonzalez

Individual provider Occupational Therapist · NPI 1043695638

Phillip Gonzalez is an Occupational Therapist in Jacksonville, Florida. Works from 2 locations. Licensed in Florida and Texas.

Licensed in
FL, TX
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1643 Lancaster Dr Ste 100, Grapevine, TX 76051-3593 — (817) 329-2524

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT19594 (FL)
Occupational Therapist Taxonomy 225X00000X · Licence 116625 (TX)

Record details

NPI number1043695638
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 23, 2015
Last updated in NPPESJanuary 24, 2023
Certification dateJanuary 24, 2023

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