Schwenk, Gordon C.

Schwenk, Gordon C. is an individual health care provider with primary practice located at 1500 Se Magnolia Ext Suite 106, Ocala FL 34471-4463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Schwenk, Gordon C. can be contacted via phone (352) 622-5183.

Contact Information

Primary practice address
1500 Se Magnolia Ext Suite 106 Ocala FL 34471-4463
Fax: (352) 622-1348
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME0044089 Florida

Profile Details

NPI number 1164414090
LBN Legal business name Schwenk, Gordon C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Jun 1st, 2012 - about 13 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 1164414090 NPPES
Florida Other 79859 BC/BS PROVIDER NUMBER
Florida MEDICAID 068681600 BC/BS PROVIDER NUMBER

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