Provider Demographics
NPI:1245440668
Name:TRNOVSKI, GJORGJI (MD)
Entity type:Individual
Prefix:DR
First Name:GJORGJI
Middle Name:
Last Name:TRNOVSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 W PALMETTO PARK RD
Mailing Address - Street 2:201C
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3458
Mailing Address - Country:US
Mailing Address - Phone:561-955-1899
Mailing Address - Fax:561-612-6556
Practice Address - Street 1:7301W PALMETTO PARK RD 201C
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3456
Practice Address - Country:US
Practice Address - Phone:561-955-1899
Practice Address - Fax:561-612-6556
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301086391207R00000X
FLME102889207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC0791ZMedicare PIN