Gonzalez Jirau, Jorge F
Gonzalez Jirau, Jorge F is an individual health care provider with primary practice located at 4200 Sun N Lake Blvd , Sebring FL 33872-1986. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gonzalez Jirau, Jorge F can be contacted via phone (863) 402-3402.Contact Information
Primary practice address
4200 Sun N Lake Blvd
Sebring FL 33872-1986
Phone: (863) 402-3402
Fax: (863) 402-3111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME50980 | Florida |
Profile Details
| NPI number | 1326076738 |
|---|---|
| LBN Legal business name | Gonzalez Jirau, Jorge F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Sep 25th, 2013 - about 11 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 | 1326076738 | NPPES |
| Florida | MEDICAID | 045779500 |
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