Gonzalez, Patrick M.

Gonzalez, Patrick M. is an sole proprietor health care provider with primary practice located at 1420 Sw Saint Lucie West Blvd Suite 102, Port St Lucie FL 34986-1709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Gonzalez, Patrick M. can be contacted via phone (772) 873-1005.

Contact Information

Primary practice address
1420 Sw Saint Lucie West Blvd Suite 102 Port St Lucie FL 34986-1709
Phone: (772) 873-1005
Fax: (772) 873-9106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME 67553 Florida

Profile Details

NPI number 1447364534
LBN Legal business name Gonzalez, Patrick M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Jun 22nd, 2010 - about 16 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 1447364534 NPPES
Florida MEDICAID 377982300
Florida Other 59-3362726

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