Individual
DR. MARIA A GORELICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2900 W PROSPECT RD, FORT LAUDERDALE, FL 33309-2519
(954) 731-1000
Mailing address
4740 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319-5839
(954) 486-4005
(954) 497-3857
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME60526
FL
2084P0800X
Psychiatry Physician
Primary
ME0060526
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058207700
—
FL
Enumeration date
11/04/2005
Last updated
03/27/2019
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