Pontone, Gregory M

Pontone, Gregory M is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Pontone, Gregory M can be contacted via phone (352) 273-5550.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-0001
Phone: (352) 273-5550
Fax: (352) 273-5575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X D0061300 Maryland
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME161613 Florida
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X ME161613 Florida

Profile Details

NPI number 1134275506
LBN Legal business name Pontone, Gregory M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jun 24th, 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 1134275506 NPPES
Maryland MEDICAID 018375000

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