Provider Demographics
NPI:1346271566
Name:GHERGHINA, VALENTINA T (MD)
Entity Type:Individual
Prefix:DR
First Name:VALENTINA
Middle Name:T
Last Name:GHERGHINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 N CONGRESS AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-3336
Mailing Address - Country:US
Mailing Address - Phone:561-737-9996
Mailing Address - Fax:561-737-8583
Practice Address - Street 1:1101 N CONGRESS AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-3336
Practice Address - Country:US
Practice Address - Phone:561-737-9996
Practice Address - Fax:561-737-8583
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME70942207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL31487OtherBLUE CROSS BLUE SHIELD
FL251889900Medicaid
FL31487OtherBLUE CROSS BLUE SHIELD
FLG37700Medicare UPIN
FL31487AMedicare ID - Type Unspecified
FLAF463Medicare PIN