Organization
GOROVOY M D EYE SPECIALISTS P A
Active
Other names
Mark S. Gorovoy MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S. GOROVOY M.D. (MEDICAL DOCTOR/PRESIDENT)
(239) 939-1444
Entity
Organization
Contact information
Practice address
12381 S CLEVELAND AVE, STE 300, FORT MYERS, FL 33907-3852
(239) 939-1444
(239) 936-7710
Mailing address
12381 S CLEVELAND AVE, STE 300, FORT MYERS, FL 33907-3852
(239) 939-1444
(239) 936-7710
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
840342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066657200
—
FL
01
—
K0328
MEDICARE GROUP
FL
Enumeration date
05/23/2005
Last updated
08/26/2011
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