Gonis, Demetrios

Gonis, Demetrios is an sole proprietor health care provider with primary practice located at 7025 N Highway 1 , Cocoa FL 32927-5092. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Urgent Care. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gonis, Demetrios can be contacted via phone (321) 305-6965.

Contact Information

Primary practice address
7025 N Highway 1 Cocoa FL 32927-5092
Phone: (321) 305-6965
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME53510 Florida
Ambulatory Health Care Facilities / Urgent Care 261QU0200X ME53510 Florida

Profile Details

NPI number 1316937485
LBN Legal business name Gonis, Demetrios
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2005
Last updated Dec 12th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316937485 NPPES
Florida Other 07411 BCBS

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