Individual
GARY DAVID GOTTLIEB
Active
Individual
GARY DAVID GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
035803
NY
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
06/15/2026
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