Individual
DR. DANIEL GREGORY GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
790 DUNLAWTON AVE STE E, PORT ORANGE, FL 32127-4222
(386) 760-1877
Mailing address
PO BOX 9671, DAYTONA BEACH, FL 32120-9671
(386) 676-7130
(386) 676-7125
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME109340
FL
Other
Enumeration date
06/24/2008
Last updated
08/24/2020
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