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
Fax: (855) 215-9930
Website:

Health care specialties

SpecialtyCodeLicense #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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