| Bart K Gershenbaum, D.o., Inc | |
|
7750 Nova Dr Davie FL 33324 | |
| (954) 634-3438 | |
| (954) 634-3437 |
| Full Name | Bart K Gershenbaum, D.o., Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7750 Nova Dr, Davie, Florida |
| Authorized Official Name and Position | Bart K Gershenbaum (OWNER,PRESIDENT) |
| Authorized Official Contact | 9546343438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bart K Gershenbaum, D.o., Inc 7750 Nova Dr Davie FL 33324 Ph: (954) 634-3438 | Bart K Gershenbaum, D.o., Inc 7750 Nova Dr Davie FL 33324 Ph: (954) 634-3438 |
| NPI Number | 1508277518 |
|---|---|
| Provider Enumeration Date | 05/13/2014 |
| Last Update Date | 05/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508277518 | NPI | - | NPPES |
| 1043237514 | Other | FL | FAMILY MEDICINE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS4663 (Florida) | Primary |
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