Gontcharova, Maria

Gontcharova, Maria is an individual health care provider with primary practice located at 420 S Nova Rd Ste 4&5 , Ormond Beach FL 32174-0410. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gontcharova, Maria can be contacted via phone (386) 615-8122.

Contact Information

Primary practice address
420 S Nova Rd Ste 4&5 Ormond Beach FL 32174-0410
Phone: (386) 615-8122
Fax: (844) 899-3686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME81622 Florida

Profile Details

NPI number 1932174547
LBN Legal business name Gontcharova, Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2006
Last updated Nov 29th, 2021 - about 3 years ago

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 1932174547 NPPES
Florida MEDICAID 261680700

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