# GOROVOY M D EYE SPECIALISTS P A

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mark S. Gorovoy MD PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568465573
- **Authorized official:** MARK S. GOROVOY M.D. (MEDICAL DOCTOR/PRESIDENT)
- **Authorized official phone:** (239) 939-1444

## Contact information

- **Practice address:** 12381 S CLEVELAND AVE, STE 300, FORT MYERS, FL 33907-3852
- **Practice address phone:** (239) 939-1444
- **Practice address fax:** (239) 936-7710
- **Mailing address:** 12381 S CLEVELAND AVE, STE 300, FORT MYERS, FL 33907-3852
- **Mailing address phone:** (239) 939-1444
- **Mailing address fax:** (239) 936-7710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 840342 | FL | Yes |

## Other

- **Enumeration date:** 05/23/2005
- **Last updated:** 08/26/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 066657200 | — | FL |
| 01 | — | K0328 | MEDICARE GROUP | FL |