Individual
DR. GINA M SEVIGNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
305 CLYDE MORRIS BLVD, SUITE 150, ORMOND BEACH, FL 32174-8181
(386) 615-1771
(386) 615-1545
Mailing address
305 CLYDE MORRIS BLVD, SUITE 150, ORMOND BEACH, FL 32174-8181
(386) 615-1771
(386) 615-1545
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME69303
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013466900
—
FL
Enumeration date
12/06/2006
Last updated
08/19/2019
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