Organization
PAUL N GOTKIN & DAVID A GUBERNICK DPM PA
Active
Other names
Treasure Coast Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL N GOTKIN DPM (PRESIDENT)
(772) 286-9912
Entity
Organization
Contact information
Practice address
1090 VIRGINIA AVE, FORT PIERCE, FL 34982-3640
(772) 461-2575
(772) 461-0419
Mailing address
2291 SE FEDERAL HWY, STUART, FL 34994-4530
(772) 286-9912
(772) 286-2405
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029741100
—
FL
Enumeration date
12/12/2006
Last updated
04/12/2010
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