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Individual

DR. DEMETRIOS GONIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7025 N HIGHWAY 1, COCOA, FL 32927-5092
(321) 305-6965
Mailing address
290 NICHOLAS PKWY NW, SUITE 1, CAPE CORAL, FL 33991-3804
(239) 573-1152
(239) 573-1360

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME53510
FL
261QU0200X
Urgent Care Clinic/Center
ME53510
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07411
BCBS
FL
Enumeration date
10/28/2005
Last updated
12/12/2023
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