Gonzalez, Gonzalo A
Gonzalez, Gonzalo A is an sole proprietor health care provider with primary practice located at 4543 S Manhattan Ave , Tampa FL 33611-2330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gonzalez, Gonzalo A can be contacted via phone (855) 226-6633.Contact Information
Primary practice address
4543 S Manhattan Ave
Tampa FL 33611-2330
Phone: (855) 226-6633
Fax: (866) 285-7068
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME62211 | Florida |
Profile Details
| NPI number | 1053319699 |
|---|---|
| LBN Legal business name | Gonzalez, Gonzalo A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Mar 4th, 2025 - about last year |
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 | 1053319699 | NPPES |
| Florida | MEDICAID | 260463901 | |
| Florida | Other | 110215139 |
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