Ivonne Susana Gamboa, MD is a
General Practice physician based in Jupiter, Florida. Ivonne Susana Gamboa is licensed to practice in New Jersey (license number NJDCATEMP-037072) and her current practice location is 1094 Military Trl, Jupiter, Florida. She can be reached at her office (for appointments etc.) via phone at
(561) 622-6111.
NPI number for Ivonne Susana Gamboa is 1265020069 and her current mailing address is 1094 Military Trl, Jupiter, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265020069.
Physician's Profile
Full Name | Ivonne Susana Gamboa |
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Gender | Female |
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Speciality | General Practice |
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Location | 1094 Military Trl, Jupiter, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265020069
- Provider Enumeration Date: 01/06/2021
- Last Update Date: 03/31/2021
Medical Identifiers
Medical identifiers for Ivonne Susana Gamboa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265020069 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 37767 (Oklahoma) | Secondary |
208D00000X | General Practice | NJDCATEMP-037072 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivonne Susana Gamboa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ivonne Susana Gamboa, MD 1094 Military Trl, Jupiter, FL 33458-7021 Ph: (561) 622-6111 | Ivonne Susana Gamboa, MD 1094 Military Trl, Jupiter, FL 33458-7021 Ph: (561) 622-6111 |
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