Gonzalez, Javier R

Gonzalez, Javier R is an individual health care provider with primary practice located at 9852-54 Little Road , New Port Richey FL 34654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gonzalez, Javier R can be contacted via phone (727) 425-6902.

Contact Information

Primary practice address
9852-54 Little Road New Port Richey FL 34654
Phone: (727) 425-6902
Fax: (727) 425-6904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS8255 Florida

Profile Details

NPI number 1134114978
LBN Legal business name Gonzalez, Javier R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Feb 2nd, 2024 - 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 1134114978 NPPES
Florida MEDICAID 272435900

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