Gamboa Gonzalez, Jose Rafael

Gamboa Gonzalez, Jose Rafael is an sole proprietor health care provider with primary practice located at 17877 Sw 8Th St , Pembroke Pines FL 33029-4402. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Gamboa Gonzalez, Jose Rafael can be contacted via phone (954) 513-9853.

Contact Information

Primary practice address
17877 Sw 8Th St Pembroke Pines FL 33029-4402
Phone: (954) 513-9853
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 19-201 Florida

Profile Details

NPI number 1548823909
LBN Legal business name Gamboa Gonzalez, Jose Rafael
Credentials SA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2019
Last updated Apr 20th, 2019 - about 5 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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