Gonzalez, Enrique T
Gonzalez, Enrique T is an individual health care provider with primary practice located at 4651 Sheridan St. Suite #270, Hollywood FL 33021-3422. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gonzalez, Enrique T can be contacted via phone (954) 989-6000.Contact Information
Primary practice address
4651 Sheridan St. Suite #270
Hollywood FL 33021-3422
Phone: (954) 989-6000
Fax: (954) 378-4775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME65628 | Florida |
Profile Details
| NPI number | 1013909290 |
|---|---|
| LBN Legal business name | Gonzalez, Enrique T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | May 12th, 2021 - about 4 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 | 1013909290 | NPPES |
| Florida | MEDICAID | 376152500 |
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