Leopoldo B Gonzalez Md Pa

LBN: Leopoldo B Gonzalez Md Pa
Leopoldo B Gonzalez Md Pa is an health care organization with primary practice located at 301 Health Park Blvd Suite 323, St Augustine FL 32086-5793. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Leopoldo B Gonzalez Md Pa can be contacted via phone (904) 824-4277, or through Gonzalez, Leopoldo B via phone (904) 824-4277.

Contact Information

Primary practice address
301 Health Park Blvd Suite 323 St Augustine FL 32086-5793
Phone: (904) 824-4277
Fax: (904) 824-4490
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, Leopoldo B MDPA
Phone: (904) 824-4277

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME0022097 Florida

Profile Details

NPI number 1417103045
LBN Legal business name Leopoldo B Gonzalez Md Pa
DBA Doing business as
Authorized official Gonzalez, Leopoldo B MDPA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2008
Last updated Feb 18th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417103045 NPPES
Florida MEDICAID 054187700

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