Gonzalez, Patrick M.
Gonzalez, Patrick M. is an sole proprietor health care provider with primary practice located at 1420 Sw Saint Lucie West Blvd Suite 102, Port St Lucie FL 34986-1709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Gonzalez, Patrick M. can be contacted via phone (772) 873-1005.Contact Information
Primary practice address
1420 Sw Saint Lucie West Blvd Suite 102
Port St Lucie FL 34986-1709
Phone: (772) 873-1005
Fax: (772) 873-9106
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ME 67553 | Florida |
Profile Details
NPI number | 1447364534 |
---|---|
LBN Legal business name | Gonzalez, Patrick M. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 18th, 2006 |
Last updated | Jun 22nd, 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 | 1447364534 | NPPES |
Florida | MEDICAID | 377982300 | |
Florida | Other | 59-3362726 |
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