Organization
BART K GERSHENBAUM, D.O., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BART K GERSHENBAUM D.O. (OWNER,PRESIDENT)
(954) 634-3438
Entity
Organization
Contact information
Practice address
7750 NOVA DR, DAVIE, FL 33324
(954) 634-3438
(954) 634-3437
Mailing address
7750 NOVA DR, DAVIE, FL 33324
(954) 634-3438
(954) 634-3437
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS4663
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043237514
FAMILY MEDICINE
FL
Enumeration date
05/13/2014
Last updated
05/13/2014
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