Gorup, Alexander M
Gorup, Alexander M is an individual health care provider with primary practice located at 1601 Clint Moore Rd Ste 105 , Boca Raton FL 33487-5712. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Gorup, Alexander M can be contacted via phone (561) 391-3333.Contact Information
Primary practice address
1601 Clint Moore Rd Ste 105
Boca Raton FL 33487-5712
Phone: (561) 391-3333
Fax: (561) 391-5618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 01058318A | Indiana |
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 01058318A | Indiana |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ME112703 | Florida |
Profile Details
| NPI number | 1336118017 |
|---|---|
| LBN Legal business name | Gorup, Alexander M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Jan 24th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336118017 | NPPES |
| Indiana | MEDICAID | 200459890 | |
| Indiana | Other | 000000312445 |
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