Individual
GARY DAVID GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
451 S COUNTRY CLUB DR, ATLANTIS, FL 33462-1239
(561) 762-6354
(561) 966-0531
Mailing address
451 S COUNTRY CLUB DR, ATLANTIS, FL 33462-1239
(561) 762-6354
(561) 966-0531
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2199
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000969400
—
FL
Enumeration date
11/08/2005
Last updated
02/07/2026
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