Gonzalez, Jorge L

Gonzalez, Jorge L is an sole proprietor health care provider with primary practice located at 8425 Nw 8Th St 403, Miami FL 33126-3769. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Community Health Worker. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Gonzalez, Jorge L can be contacted via phone (305) 389-0709.

Contact Information

Primary practice address
8425 Nw 8Th St 403 Miami FL 33126-3769
Phone: (305) 389-0709
Fax: (305) 261-1890
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0-03-0981 Florida
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1770737603
LBN Legal business name Gonzalez, Jorge L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2008
Last updated Nov 5th, 2008 - about 18 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 1770737603 NPPES
Florida MEDICAID 676238798
Florida MEDICAID 691481179
Florida MEDICAID 676238796
Florida MEDICAID 676238700

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