Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | ME83787 | FL |
NPI | 1043249923 |
---|---|
Provider Name | Gokhan Guvenli |
First Address | Pembroke Pines, FL 33027-1761 |
Second Address | Miramar, FL 33027-2544 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 16/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
145KR | BCBS FL (01) | FL |
H63852 | (02) |