Cezerina Gavoci
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Wilmington Island, GA
NPI 1194233262 · NPPES record last updated Jan 11, 2018
Key facts
- NPI
- 1194233262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 155 Johnny Mercer Blvd
Wilmington Island, GA 31410-2118 - Phone
- (912) 897-8106
- NPI assigned
- Jan 11, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Super Markets Inc | Past | Accepting new patients | |
| Publix Super Markets Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
155 Johnny Mercer Blvd
Wilmington Island, GA 31410-2118
Mailing address
155 Johnny Mercer Blvd
Wilmington Island, GA 31410-2118
Phone (912) 897-8106
Other providers in Wilmington Island, GA
All providers in Wilmington Island, GA · Student in an Organized Health Care Education/Training Program in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.