Individual
GARY POPOVETSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
20900 BISCAYNE BLVD, AVENTURA, FL 33180-1407
(305) 682-7292
Mailing address
2539 COOPER WAY, WELLINGTON, FL 33414-3479
(561) 822-3296
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MB07360200
NJ
207P00000X
Emergency Medicine Physician
Primary
OS11198
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003164600
—
FL
Enumeration date
05/08/2006
Last updated
02/03/2012
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