Sevigny, Gina M

Sevigny, Gina M is an sole proprietor health care provider with primary practice located at 305 Clyde Morris Blvd Suite 150, Ormond Beach FL 32174-8181. She recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as her primary health care specialty. Sevigny, Gina M can be contacted via phone (386) 615-1771.

Contact Information

Primary practice address
305 Clyde Morris Blvd Suite 150 Ormond Beach FL 32174-8181
Fax: (386) 615-1545
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X ME69303 Florida

Profile Details

NPI number 1245399237
LBN Legal business name Sevigny, Gina M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2006
Last updated Aug 19th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245399237 NPPES
Florida MEDICAID 013466900

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