Provider Demographics
NPI:1013261627
Name:GJORGJI TRNOVSKI MD PA
Entity Type:Organization
Organization Name:GJORGJI TRNOVSKI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GJORGJI
Authorized Official - Middle Name:
Authorized Official - Last Name:TRNOVSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-955-1890
Mailing Address - Street 1:1050 NW 15TH ST
Mailing Address - Street 2:SUITE 215A
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-1375
Mailing Address - Country:US
Mailing Address - Phone:561-955-1890
Mailing Address - Fax:561-392-8103
Practice Address - Street 1:1050 NW 15TH ST
Practice Address - Street 2:SUITE 215A
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-1375
Practice Address - Country:US
Practice Address - Phone:561-955-1890
Practice Address - Fax:561-392-8103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-05
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 102889207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty