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GOROVOY M D EYE SPECIALISTS P A NPI 1568465573


NPI Information

NPI: 1568465573
Provider Name: GOROVOY M D EYE SPECIALISTS P A

Doing Business As: MARK S. GOROVOY MD PA

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 10D2179635

Address:
12381 S CLEVELAND AVE
STE 300
FORT MYERS, FL
ZIP 33907
Phone: (239) 939-1444
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GOROVOY M D EYE SPECIALISTS P A is an ophthalmology in Fort Myers, FL. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. GOROVOY M D EYE SPECIALISTS P A NPI is 1568465573. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mark S. Gorovoy Md Pa.

The provider's business location address is:

12381 S CLEVELAND AVE
STE 300
FORT MYERS, FL
ZIP 33907-852
Phone: (239) 939-1444
Fax: (239) 936-7710

The provider's authorized official is Mark S. Gorovoy .
The authorized official title is Medical Doctor/president and has the following contact phone number (239) 939-1444.

The CLIA number assigned to this NPI record is 10D2179635 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 8/26/2011.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology840342FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K0328OTHERFLORIDAMEDICARE GROUP
20784020001MEDICARE NSCFLORIDA
3066657200MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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