Gazzola, William Horst
Gazzola, William Horst is an individual health care provider with primary practice located at 1555 Kingsley Ave Ste 503 , Orange Park FL 32073-9207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gazzola, William Horst can be contacted via phone (904) 278-5088.Contact Information
Primary practice address
1555 Kingsley Ave Ste 503
Orange Park FL 32073-9207
Phone: (904) 278-5088
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | LL39357 | South Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | OS19211 | Florida |
Profile Details
| NPI number | 1982053005 |
|---|---|
| LBN Legal business name | Gazzola, William Horst |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2016 |
| Last updated | Oct 12th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982053005 | NPPES |
| South Carolina | MEDICAID | PENDING |
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