Gondek, David M
Gondek, David M is an individual health care provider with primary practice located at 13696 N Us Highway 441 , Lady Lake FL 32159-6814. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Gondek, David M can be contacted via phone (352) 775-1221.Contact Information
Primary practice address
13696 N Us Highway 441
Lady Lake FL 32159-6814
Phone: (352) 775-1221
Fax: (866) 531-8528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA1860 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA1860 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA 1860 | Florida |
Profile Details
| NPI number | 1487684528 |
|---|---|
| LBN Legal business name | Gondek, David M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | May 7th, 2026 - about 6 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487684528 | NPPES |
| Florida | MEDICAID | 019839000 | |
| Florida | Other | PA1860 |
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