Gonzalez, Gonzalo
Gonzalez, Gonzalo is an individual health care provider with primary practice located at 2531 N Dixie Hwy , Lake Worth FL 33460-6250. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gonzalez, Gonzalo can be contacted via phone (561) 582-0330.Contact Information
Primary practice address
2531 N Dixie Hwy
Lake Worth FL 33460-6250
Phone: (561) 582-0330
Fax: (561) 582-0339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | ME99529 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME99529 | Florida |
Profile Details
| NPI number | 1477621373 |
|---|---|
| LBN Legal business name | Gonzalez, Gonzalo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Nov 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477621373 | NPPES |
| Florida | MEDICAID | 2803080100 |
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