Gonzalez, Roberto

Gonzalez, Roberto is an individual health care provider with primary practice located at 1050 Cypress Pkwy , Kissimmee FL 34759-3328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gonzalez, Roberto can be contacted via phone (407) 483-1400.

Contact Information

Primary practice address
1050 Cypress Pkwy Kissimmee FL 34759-3328
Fax: (407) 483-1405
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME115410 Florida

Profile Details

NPI number 1376536235
LBN Legal business name Gonzalez, Roberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Jul 16th, 2015 - about 9 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 1376536235 NPPES
Florida MEDICAID 10860400
Florida Other ME115410

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