Sepulveda, Lillian Gonzales

Sepulveda, Lillian Gonzales is an sole proprietor health care provider with primary practice located at 701 W Cocoa Beach Cswy , Cocoa Beach FL 32931-3585. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Sepulveda, Lillian Gonzales can be contacted via phone (321) 868-5871.

Contact Information

Primary practice address
701 W Cocoa Beach Cswy Cocoa Beach FL 32931-3585
Phone: (321) 868-5871
Fax: (321) 868-5852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME130526 Florida

Profile Details

NPI number 1558773952
LBN Legal business name Sepulveda, Lillian Gonzales
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2014
Last updated Mar 19th, 2020 - about 5 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 1558773952 NPPES
Florida Other JB251Z FL MEDICARE
Florida MEDICAID 021657600 FL MEDICARE

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