Sporn, Gary Kevin
Sporn, Gary Kevin is an individual health care provider with primary practice located at 311 9Th St N Ste 310 , Naples FL 34102-5889. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Sporn, Gary Kevin can be contacted via phone (239) 624-8250.Contact Information
Primary practice address
311 9Th St N Ste 310
Naples FL 34102-5889
Phone: (239) 624-8250
Fax: (239) 624-8251
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME 61415 | Florida |
Profile Details
NPI number | 1467401612 |
---|---|
LBN Legal business name | Sporn, Gary Kevin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 8th, 2006 |
Last updated | Jul 21st, 2022 - about 2 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 | 1467401612 | NPPES |
Florida | MEDICAID | 015644000 | |
Florida | Other | 28188 | |
Florida | Other | 28188W |
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