DR. SASHA GOURGUE M.D NPI 1154749893

NPI Information

DR. Sasha Gourgue, M.D is an obstetrics obstetrics gynecology in Jacksonville, FL with 10 years of experience. DR. Sasha Gourgue, M.D NPI is 1154749893. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year:2014

The provider's business location address is:

653-1 W 8TH ST
JACKSONVILLE, FL
ZIP 32209-511
Phone: (904) 244-6656

The NPI 1154749893 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/31/2014 and was last updated on 6/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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