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Contact Information

KYLE R GORMEZANO, MD
500 PEACOCK LN N
JUPITER, FL33458-8333
 Phone: 952-595-1100
 Fax: 612-294-4903
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Diagnostic Ultrasound

2085U0001X
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for KYLE R GORMEZANO · (Male)

NPI Number 1225027592
Status Active
Credentials MD
Entity Individual
Enumeration date 10/19/2005
Last updated 02/19/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME77760
  • IL License # 036138160
  • PA License # MD455215
Hospital affiliation(s)
  • DELRAY MEDICAL CENTER - (Acute Care)
    5352 LINTON BLVD
    DELRAY BEACH, FL 33484
  • GOOD SAMARITAN MEDICAL CENTER - (Acute Care)
    1309 N FLAGLER DR
    WEST PALM BEACH, FL 33401
  • ST MARY'S MEDICAL CENTER - (Acute Care)
    901 45TH ST
    WEST PALM BEACH, FL 33407
  • WEST BOCA MEDICAL CENTER - (Acute Care)
    21644 STATE RD 7
    BOCA RATON, FL 33428
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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