Gonzalez, Pablo R.

Gonzalez, Pablo R. is an individual health care provider with primary practice located at 1871 Se Tiffany Ave Suite 200, Port St Lucie FL 34952-7585. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Gonzalez, Pablo R. can be contacted via phone (772) 337-4000.

Contact Information

Primary practice address
1871 Se Tiffany Ave Suite 200 Port St Lucie FL 34952-7585
Phone: (772) 337-4000
Fax: (772) 335-4054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME65349 Florida

Profile Details

NPI number 1972562122
LBN Legal business name Gonzalez, Pablo R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Mar 19th, 2019 - about 7 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 1972562122 NPPES
Florida MEDICAID 376637300
Florida Other 26551

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