Gonzalez, Xiomara
Gonzalez, Xiomara is an sole proprietor health care provider with primary practice located at 3026 Hanging Rock Ct E , Jacksonville FL 32246-3815. She recently has only one registered license in Other Service Providers / Vehicle Modifications, which is considered as her primary health care specialty. Gonzalez, Xiomara can be contacted via phone (904) 420-8881.Contact Information
Primary practice address
3026 Hanging Rock Ct E
Jacksonville FL 32246-3815
Phone: (904) 420-8881
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Vehicle Modifications | 171WV0202X | Florida |
Profile Details
| NPI number | 1063048635 |
|---|---|
| LBN Legal business name | Gonzalez, Xiomara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2020 |
| Last updated | Mar 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063048635 | NPPES |
| Florida | MEDICAID | 844983549 |
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