Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Johnny Gurgen DO PA

Organization Dermatology Physician · NPI 1770856833

Johnny Gurgen DO PA is a Dermatology Physician in Lady Lake, Florida. Works from 2 locations. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

920 Rolling Acres Rd Unit 203
Lady Lake, FL 32159-5029
Phone: (352) 435-7695
Fax: (352) 435-7453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1340 Citizens Blvd, Leesburg, FL 34748-3924 — (352) 435-7695

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X

Record details

NPI number1770856833
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnny Gurgen — Owner · (352) 435-7695
NPI enumeratedFebruary 20, 2012
Last updated in NPPESNovember 18, 2019
Mailing address920 Rolling Acres Rd Unit 203, Lady Lake, FL 32159-5029

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