Gonzalez Samot, Glorimar

Gonzalez Samot, Glorimar is an sole proprietor health care provider with primary practice located at 675 S Kings Ave Ste 101 , Brandon FL 33511-6048. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Gonzalez Samot, Glorimar can be contacted via phone (813) 588-5123.

Contact Information

Primary practice address
675 S Kings Ave Ste 101 Brandon FL 33511-6048
Phone: (813) 588-5123
Fax: (863) 646-9664
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 17491 Puerto Rico
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN784 Florida

Profile Details

NPI number 1700111614
LBN Legal business name Gonzalez Samot, Glorimar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2009
Last updated Jul 12th, 2023 - about 3 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 1700111614 NPPES
Florida Other ACN784 MEDICAL LICENSE NUMBER

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