Gonzalez, Floyd

Gonzalez, Floyd is an sole proprietor health care provider with primary practice located at 821 Walter J Leeper Dr Suite 101, De Queen AR 71832-2591. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Gonzalez, Floyd can be contacted via phone (870) 642-8640.

Contact Information

Primary practice address
821 Walter J Leeper Dr Suite 101 De Queen AR 71832-2591
Phone: (870) 642-8640
Fax: (870) 642-3516
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X E1628 Arkansas

Profile Details

NPI number 1972502953
LBN Legal business name Gonzalez, Floyd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2005
Last updated Aug 13th, 2012 - about 13 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 1972502953 NPPES
Oklahoma Other 100213340B SOONERCARE
Oklahoma MEDICAID 100213340A SOONERCARE
Oklahoma MEDICAID 133554001 SOONERCARE

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