Gonzalez, Manuel D

Gonzalez, Manuel D is an individual health care provider with primary practice located at 2295 N University Dr , Pembroke Pines FL 33024-3611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gonzalez, Manuel D can be contacted via phone (954) 983-1969.

Contact Information

Primary practice address
2295 N University Dr Pembroke Pines FL 33024-3611
Phone: (954) 983-1969
Fax: (954) 983-1980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME65082 Florida

Profile Details

NPI number 1497740112
LBN Legal business name Gonzalez, Manuel D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Apr 25th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497740112 NPPES
Florida MEDICAID 375385900

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