Gonzalez-Navedo, Edwin

Gonzalez-Navedo, Edwin is an individual health care provider with primary practice located at 3140 Nw Medical Center Ln Suite 120, Lake City FL 32055-4717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gonzalez-Navedo, Edwin can be contacted via phone (386) 755-6682.

Contact Information

Primary practice address
3140 Nw Medical Center Ln Suite 120 Lake City FL 32055-4717
Phone: (386) 755-6682
Fax: (386) 755-6796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME92298 Florida

Profile Details

NPI number 1710971460
LBN Legal business name Gonzalez-Navedo, Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Oct 3rd, 2007 - about 18 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 1710971460 NPPES
Florida MEDICAID 271874000

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