Bogdan Gogioiu Md Pa | |
600 E Dixie Ave Leesburg FL 34748-5925 | |
(352) 728-5466 | |
(352) 728-5466 |
Full Name | Bogdan Gogioiu Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 600 E Dixie Ave, Leesburg, Florida |
Authorized Official Name and Position | Bogdan Gogioiu (OWNER) |
Authorized Official Contact | 3527285466 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bogdan Gogioiu Md Pa 1032 Shore Acres Dr Leesburg FL 34748-4506 Ph: (352) 728-5466 | Bogdan Gogioiu Md Pa 600 E Dixie Ave Leesburg FL 34748-5925 Ph: (352) 728-5466 |
NPI Number | 1437590627 |
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Provider Enumeration Date | 07/16/2013 |
Last Update Date | 07/16/2013 |
Medicare PECOS PAC ID | 6709010069 |
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Medicare Enrollment ID | O20130930000312 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437590627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME87859 (Florida) | Primary |
Provider Name | Bogdan Gogioiu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043399207 PECOS PAC ID: 2769370899 Enrollment ID: I20040309001029 |
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