Gorovoy, Mark S
Gorovoy, Mark S is an individual health care provider with primary practice located at 12381 S Cleveland Ave Ste 300 , Fort Myers FL 33907-3852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gorovoy, Mark S can be contacted via phone (239) 939-1444.Contact Information
Primary practice address
12381 S Cleveland Ave Ste 300
Fort Myers FL 33907-3852
Phone: (239) 939-1444
Fax: (239) 936-7710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME39771 | Florida |
Profile Details
| NPI number | 1043213051 |
|---|---|
| LBN Legal business name | Gorovoy, Mark S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Sep 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043213051 | NPPES |
| Florida | Other | 0868210-002 | CIGNA |
| Florida | Other | 36319 | CIGNA |
| Florida | Other | 805595 | CIGNA |
| Florida | Other | P00117729 | CIGNA |
| Florida | Other | 15808 | CIGNA |
| Florida | MEDICAID | 066657200 | CIGNA |
| Florida | Other | 4209944 | CIGNA |
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