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Individual

PETER J GILBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 725-4500
(321) 722-3843
Mailing address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 725-4500
(321) 722-3843

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME26501
FL
207RN0300X
Nephrology Physician
Primary
ME26501
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
039026700
FL
01
110051316
RR MEDICARE
FL
Enumeration date
10/28/2005
Last updated
04/20/2011
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