Gonzales, Jaymes

Gonzales, Jaymes is an individual health care provider with primary practice located at 3115 Innovation Dr , Saint Cloud FL 34769-6501. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gonzales, Jaymes can be contacted via phone (407) 530-7304.

Contact Information

Primary practice address
3115 Innovation Dr Saint Cloud FL 34769-6501
Phone: (407) 530-7304
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20043323B Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 9065 Florida

Profile Details

NPI number 1598019838
LBN Legal business name Gonzales, Jaymes
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2012
Last updated May 18th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598019838 NPPES
Florida MEDICAID 024324400
Florida MEDICAID 300054391

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