Individual
DR. ANDREI P GHERGHINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO, MS
Contact information
Practice address
10151 ENTERPRISE CTR STE 204, BOYNTON BEACH, FL 33437-3761
(561) 405-3000
(561) 459-1444
Mailing address
10151 ENTERPRISE CTR STE 204, BOYNTON BEACH, FL 33437-3761
(561) 405-3000
(561) 459-1444
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
OS14108
FL
207N00000X
Dermatology Physician
UO4347
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
OS14108
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JN916
PTAN
FL
Enumeration date
02/13/2016
Last updated
08/28/2020
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