Gonzalez, Nelson

Gonzalez, Nelson is an sole proprietor health care provider with primary practice located at 11045 Sw 216 St , Miami FL 33170. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Gonzalez, Nelson can be contacted via phone (786) 429-1639.

Contact Information

Primary practice address
11045 Sw 216 St Miami FL 33170
Phone: (786) 429-1639
Fax: (786) 883-0900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME101417 Florida
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X ME101417 Florida

Profile Details

NPI number 1578759197
LBN Legal business name Gonzalez, Nelson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2007
Last updated Dec 13th, 2022 - about 2 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 1578759197 NPPES
Florida MEDICAID 110070100

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