Gonzalez, Lucerito

Gonzalez, Lucerito is an sole proprietor health care provider with primary practice located at 338 Sahalli Ct , Davenport FL 33837-8779. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Gonzalez, Lucerito can be contacted via phone (410) 322-0940.

Contact Information

Primary practice address
338 Sahalli Ct Davenport FL 33837-8779
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 15814 Florida

Profile Details

NPI number 1114453131
LBN Legal business name Gonzalez, Lucerito
Credentials COTA/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2017
Last updated May 11th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114453131 NPPES
Florida MEDICAID 15814

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