Gamboa, Ivonne Susana
Gamboa, Ivonne Susana is an sole proprietor health care provider with primary practice located at 1094 Military Trl , Jupiter FL 33458-7021. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Gamboa, Ivonne Susana can be contacted via phone (561) 622-6111.Contact Information
Primary practice address
1094 Military Trl
Jupiter FL 33458-7021
Phone: (561) 622-6111
Fax: (855) 215-9930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 37767 | Oklahoma |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | NJDCATEMP-037072 | New Jersey |
Profile Details
| NPI number | 1265020069 |
|---|---|
| LBN Legal business name | Gamboa, Ivonne Susana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2021 |
| Last updated | Mar 31st, 2021 - about 5 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.
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