Cortes, Gonzalo

Cortes, Gonzalo is an individual health care provider with primary practice located at 1708 N Federal Hwy , Lake Worth FL 33460-6668. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Cortes, Gonzalo can be contacted via phone (561) 588-2025.

Contact Information

Primary practice address
1708 N Federal Hwy Lake Worth FL 33460-6668
Phone: (561) 588-2025
Fax: (561) 588-2024
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN16953 Florida

Profile Details

NPI number 1740480417
LBN Legal business name Cortes, Gonzalo
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2007
Last updated Jan 13th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740480417 NPPES
Florida MEDICAID 076972000

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