Gonzalez, Richard

Gonzalez, Richard is an sole proprietor health care provider with primary practice located at 232 N Orange Blossom Trl , Orlando FL 32805-1612. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Gonzalez, Richard can be contacted via phone (407) 428-5751.

Contact Information

Primary practice address
232 N Orange Blossom Trl Orlando FL 32805-1612
Phone: (407) 428-5751
Fax: (407) 428-6204
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X OS4666 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS4666 Florida

Profile Details

NPI number 1588756100
LBN Legal business name Gonzalez, Richard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2006
Last updated Jul 30th, 2020 - about 4 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 1588756100 NPPES
Florida MEDICAID 254597700

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