Individual
DR. ALICIA EVE GITTLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3343 STATE ROAD 7, WELLINGTON, FL 33449-8002
(561) 795-9845
(561) 795-8791
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
247489-1
NY
2085R0001X
Radiation Oncology Physician
Primary
ME116078
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01362743
—
NY
01
—
14362
DIMENSION
FL
01
—
387763
AVMED
FL
01
—
619271
WELLCARE
FL
01
—
9002974
CIGNA
FL
01
—
9134329
AETNA
FL
01
—
P01568228
RR MEDICARE
FL
01
—
P1041372
FREEDOM
FL
01
—
P975930
OPTIMUM
FL
01
—
UKB3C
BCBS
FL
Enumeration date
08/06/2007
Last updated
09/02/2016
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