Gonzalez, Jesus

Gonzalez, Jesus is an individual health care provider with primary practice located at 9980 Central Park Blvd N Ste 126 , Boca Raton FL 33428-1703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gonzalez, Jesus can be contacted via phone (561) 375-2514.

Contact Information

Primary practice address
9980 Central Park Blvd N Ste 126 Boca Raton FL 33428-1703
Phone: (561) 375-2514
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME152847 Florida

Profile Details

NPI number 1336131671
LBN Legal business name Gonzalez, Jesus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated May 11th, 2023 - about 3 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 1336131671 NPPES
North Carolina MEDICAID 8936171

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