Dasta Gonzalez, Jeffrey

Dasta Gonzalez, Jeffrey is an individual health care provider with primary practice located at 1621 E Vine St , Kissimmee FL 34744-3730. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Dasta Gonzalez, Jeffrey can be contacted via phone (407) 847-4152.

Contact Information

Primary practice address
1621 E Vine St Kissimmee FL 34744-3730
Phone: (407) 847-4152
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1801521588
LBN Legal business name Dasta Gonzalez, Jeffrey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2022
Last updated Jul 22nd, 2022 - about 3 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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