Ponte, Gaston Marcos

Ponte, Gaston Marcos is an individual health care provider with primary practice located at 1223 Gateway Dr Ste 1F , Melbourne FL 32901-2607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Ponte, Gaston Marcos can be contacted via phone (321) 312-3307.

Contact Information

Primary practice address
1223 Gateway Dr Ste 1F Melbourne FL 32901-2607
Phone: (321) 312-3307
Fax: (321) 956-2539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X ME113645 Florida

Profile Details

NPI number 1518168293
LBN Legal business name Ponte, Gaston Marcos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Mar 20th, 2024 - 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 1518168293 NPPES
Florida Other GH973Y MEDICARE HF
Florida MEDICAID 010611700 MEDICARE HF

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