Gonzalez, Jose E

Gonzalez, Jose E is an individual health care provider with primary practice located at 1875 Boggy Creek Rd , Kissimmee FL 34744-4428. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gonzalez, Jose E can be contacted via phone (407) 343-2000.

Contact Information

Primary practice address
1875 Boggy Creek Rd Kissimmee FL 34744-4428
Fax: (407) 343-2002
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN11984 Florida

Profile Details

NPI number 1992706691
LBN Legal business name Gonzalez, Jose E
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Dec 7th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992706691 NPPES
Florida MEDICAID 073302400

Popular Providers