Individual
DR. JAY STUART GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3 SW 129TH AVE STE 100, PEMBROKE PINES, FL 33027-1778
(866) 400-3376
(954) 217-3222
Mailing address
151 SOUTHHALL LN STE 300, MAITLAND, FL 32751-7172
(866) 400-3376
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS4371
FL
Other
Enumeration date
06/22/2005
Last updated
09/12/2024
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