Individual
IRWIN GOTBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
137 WILLOW DR, LAKE HELEN, FL 32744-3121
(386) 228-2755
Mailing address
840 PLEASANT ST, LAKE HELEN, FL 32744-3503
(386) 228-2451
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS 1654
FL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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