Gonzalez, Jose
Gonzalez, Jose is an sole proprietor health care provider with primary practice located at 3580 Lake Worth Rd , Palm Springs FL 33461-4029. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Gonzalez, Jose can be contacted via phone (561) 425-5075.Contact Information
Primary practice address
3580 Lake Worth Rd
Palm Springs FL 33461-4029
Phone: (561) 425-5075
Fax: (561) 275-7134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 11013866 | Florida |
Profile Details
| NPI number | 1720657588 |
|---|---|
| LBN Legal business name | Gonzalez, Jose |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2021 |
| Last updated | Jun 24th, 2021 - about 3 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 | 1720657588 | NPPES |
| Florida | Other | 11013866 | LICENSE |
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