National Provider Identifier Database

MARK GONWA, MD – NPI #1275601437
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

MARK GONWA, MD
1500 N DIXIE HWAY
STE 306
WEST PALM BEACH, FL33401
Phone: 561-837-4834
Fax: 561-837-2225
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for MARK GONWA

NPI Number 1275601437
Credentials MD
Entity Individual
Enumeration date 12/04/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • FL License #: ME64311
  • FL Medicaid: 378003100
  • KY Medicaid: 7100037330
  • KY Other: 000000545011 ANTHEM BCBS
Hospital affiliation n/a

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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