Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNNY GURGEN, D.O.
Active Sole ProprietorJOHNNY GURGEN, D.O. is a Dermatology healthcare provider located in LADY LAKE, Florida. NPI 1962666966 is currently active in the NPPES registry. Verify at CMS.
Dermatology · LADY LAKE, FL
Registration Details
- NPI Number
- 1962666966
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2008 (18.113592269229 yrs)
- Last Updated
- Jun 11, 2019
- Licenses
-
OS10423 (FL)OS10423 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
920 ROLLING ACRES RD UNIT 203LADY LAKE, FL, 321595029Browse FL providers · Browse ZIP 32159
- Phone
- 3524357695
- Fax
- 3524357453
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.