Gonzales, Jeremy David

Gonzales, Jeremy David is an sole proprietor health care provider with primary practice located at 289 Morning Glory Dr , Lake Mary FL 32746-6100. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as his primary health care specialty. Gonzales, Jeremy David can be contacted via phone (407) 416-4867.

Contact Information

Primary practice address
289 Morning Glory Dr Lake Mary FL 32746-6100
Fax:
Website:

Health care specialties

Profile Details

NPI number 1548605678
LBN Legal business name Gonzales, Jeremy David
Credentials COTA/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2013
Last updated May 2nd, 2013 - about 13 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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