Organization
SETH GOTTLIEB, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH GOTTLIEB MD (OWNER)
(305) 534-2155
Entity
Organization
Contact information
Practice address
4302 ALTON RD STE 710, MIAMI BEACH, FL 33140-2877
(305) 534-2155
(305) 534-2035
Mailing address
4302 ALTON RD STE 710, MIAMI BEACH, FL 33140-2877
(305) 534-2155
(305) 534-2035
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME 68259
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003810763
INDIVIDUAL NPI
FL
01
—
26882
BLUE CROSS BLUE SHIELD
FL
05
—
378455000
—
FL
Enumeration date
06/16/2006
Last updated
05/20/2019
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