Gonzalez, Rolando Luis

Gonzalez, Rolando Luis is an individual health care provider with primary practice located at 15901 Bass Rd Ste 108 , Fort Myers FL 33908-3838. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Gonzalez, Rolando Luis can be contacted via phone (239) 343-6050.

Contact Information

Primary practice address
15901 Bass Rd Ste 108 Fort Myers FL 33908-3838
Phone: (239) 343-6050
Fax: (239) 343-6051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X ME132284 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 69181-20 Wisconsin

Profile Details

NPI number 1386080034
LBN Legal business name Gonzalez, Rolando Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2013
Last updated Mar 25th, 2021 - about 4 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 1386080034 NPPES
Florida MEDICAID 106301500

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