Mark S Gorovoy
Ophthalmologist
12381 S Cleveland Ave Ste 300
Fort Myers
, Florida 33907-3852
Mark S Gorovoy
Ophthalmologist
12381 S Cleveland Ave Ste 300
Fort Myers
, Florida 33907-3852
(239) 936-7710
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Mark S Gorovoy
- 12381 S Cleveland Ave Ste 300
- Fort Myers, FL
- Zip : 33907-3852
- Fax : (239) 936-7710
- Phone : (239) 939-1444
Second Address
- Mark S Gorovoy
- 12381 S Cleveland Ave Ste 300
- Fort Myers, FL
- Zip : 33907-3852
- Fax : (239) 936-7710
- Phone : (239) 939-1444
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | ME39771 | FL |
National Provider Identifier
| NPI | 1043213051 |
|---|---|
| Provider Name | Mark S Gorovoy |
| First Address | Fort Myers, FL 33907-3852 |
| Second Address | Fort Myers, FL 33907-3852 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2005 |
| Last Update Date | 22/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 066657200 | (05) | FL |
| 0868210-002 | CIGNA (01) | FL |
| 15808 | STAYWELL (01) | FL |
| 36319 | BC/BS (01) | FL |
| 4209944 | AETNA (01) | FL |
| 805595 | UNITED HEALTHCARE (01) | FL |
| D54472 | (02) | FL |
| P00117729 | RR MEDICARE (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.