Individual
DR. GARY S FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 MEMORIAL MEDICAL PKWY STE 208, DAYTONA BEACH, FL 32117-5169
(386) 231-3593
(386) 231-3595
Mailing address
PO BOX 947381, ATLANTA, GA 30394-7381
(386) 671-4519
(386) 672-9904
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
143907
NY
207Y00000X
Otolaryngology Physician
Primary
ME158843
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01184647
—
NY
Enumeration date
06/06/2006
Last updated
07/20/2023
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