Gonzalez, Luis A

Gonzalez, Luis A is an individual health care provider with primary practice located at 270 N Sykes Creek Pkwy Unit 108, Merritt Island FL 32953. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gonzalez, Luis A can be contacted via phone (321) 452-1061.

Contact Information

Primary practice address
270 N Sykes Creek Pkwy Unit 108 Merritt Island FL 32953
Phone: (321) 452-1061
Fax: (321) 453-0866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME60685 Florida

Profile Details

NPI number 1295793628
LBN Legal business name Gonzalez, Luis A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Sep 22nd, 2016 - about 10 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 1295793628 NPPES
Florida MEDICAID 057773100
Florida Other 17673

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