Individual
BRIAN M GOTKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7369 SHERIDAN ST STE 302, HOLLYWOOD, FL 33024-2776
(954) 276-1925
(954) 322-4575
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME73708
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259699700
—
FL
Enumeration date
10/04/2005
Last updated
03/15/2021
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