Organization
JEFFREY S GORODETSKY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY S GORODETSKY MD (PRESIDENT)
(772) 223-4504
Entity
Organization
Contact information
Practice address
433 E OCEAN BLVD, STUART, FL 34994-2573
(772) 223-4504
(772) 223-5988
Mailing address
433 E OCEAN BLVD, STUART, FL 34994-2573
(772) 223-4504
(772) 223-5988
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
ME0053894
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048745701
—
FL
01
—
07463
BLUE CROSS BLUE SHIELD
FL
01
—
07463P
MEDICARE INDIVIDUAL
FL
01
—
K9632
MEDICACE GROUP
FL
01
—
P00307631
RAILROAD MEDICARE
FL
Enumeration date
10/17/2007
Last updated
09/17/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us