| Demetrios Gonis Inc. | |
|
290 Nicholas Pkwy Nw Suite 1 Cape Coral FL 33991-3804 | |
| (239) 573-1152 | |
| (239) 573-1360 |
| Full Name | Demetrios Gonis Inc. |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 290 Nicholas Pkwy Nw, Cape Coral, Florida |
| Authorized Official Name and Position | Demetrios Gonis (OWNER/ MD) |
| Authorized Official Contact | 2395731152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Demetrios Gonis Inc. 290 Nicholas Pkwy Nw Suite 1 Cape Coral FL 33991-3804 Ph: (239) 573-1152 | Demetrios Gonis Inc. 290 Nicholas Pkwy Nw Suite 1 Cape Coral FL 33991-3804 Ph: (239) 573-1152 |
| NPI Number | 1497046957 |
|---|---|
| Provider Enumeration Date | 05/02/2011 |
| Last Update Date | 05/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497046957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME53510 (Florida) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | ME53510 (Florida) | Primary |
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