Mark E Gonwa MD PLLC Team Radiology
Organization Active NPI Diagnostic Radiology Physician · Port Charlotte, FL
NPI 1497925895 · NPPES record last updated Aug 20, 2008
Key facts
- NPI
- 1497925895
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- ME64311 (FL)
- Legal business name
- MARK E GONWA MD PLLC TEAM RADIOLOGY
- Practice address
- 2500 Harbor Blvd
Port Charlotte, FL 33952-5000 - Phone
- (941) 766-4382
- NPI assigned
- Mar 3, 2008
- Organization subpart
- No
Authorized official
- Name
- Mark E Gonwa, MD
- Title
- President
- Phone
- (516) 625-8584
Practitioners 1
-
Richard Anthony Amato, M.D.
National Provider Directory
Locations
4440 Pga Blvd
Ste 402
Palm Beach Gardens, FL 33410
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | ME64311 | FL | Yes |
Addresses
Primary practice location
2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Mailing address
4440 Pga Blvd
Suite 402
Palm Beach Gardens, FL 33410-6539
Phone (516) 625-8584
Other providers in Port Charlotte, FL
- Marc a. Melser, MD, PL
- Glenn J Marcus
- Margaret G. Mayo, M.D. PA
- Nicole Marihart
- Mario E Carbonell MD PA
- Mark O. Asperilla M.D.P.a.
- Mark S. Tracy, D.P.M., P.a.
- Rayna Markle
- Luis Gerardo Marmol
- Karen A. Marotte
All providers in Port Charlotte, FL · Diagnostic Radiology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2008. 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.