Gonzalez, Leoncio V
Gonzalez, Leoncio V is an individual health care provider with primary practice located at 11760 Bird Rd Suite 101, Miami FL 33175-3549. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gonzalez, Leoncio V can be contacted via phone (305) 220-8333.Contact Information
Primary practice address
11760 Bird Rd Suite 101
Miami FL 33175-3549
Phone: (305) 220-8333
Fax: (305) 220-1971
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OP2772 | Florida |
Profile Details
| NPI number | 1356333900 |
|---|---|
| LBN Legal business name | Gonzalez, Leoncio V |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Aug 4th, 2010 - about 14 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 | 1356333900 | NPPES |
| Florida | MEDICAID | 620109100 |
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