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Organization

GARY GOTTHELF, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARY GOTTHELF M.D. (PRESIDENT)
(850) 477-3252
Entity
Organization

Contact information

Practice address
4511 N DAVIS HWY, 1-C, PENSACOLA, FL 32503-2720
(850) 477-3252
(850) 477-2659
Mailing address
4511 N DAVIS HWY, 1-C, PENSACOLA, FL 32503-2720
(850) 477-3252
(850) 477-2659

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME35416
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17449
BCBS OF FLORIDA
FL
Enumeration date
08/17/2005
Last updated
01/31/2014
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