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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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 1477621373 NPPES
Florida MEDICAID 2803080100

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