| Gilbert Medical Group Inc | |
|
4430 Sheridan St Suite A Hollywood FL 33021-3546 | |
| (305) 588-2314 | |
| Not Available |
| Full Name | Gilbert Medical Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4430 Sheridan St, Hollywood, Florida |
| Authorized Official Name and Position | Marlon David Gilbert (PRESIDENT) |
| Authorized Official Contact | 3055882314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gilbert Medical Group Inc 4430 Sheridan St Suite A Hollywood FL 33021-3546 Ph: (305) 588-2314 | Gilbert Medical Group Inc 4430 Sheridan St Suite A Hollywood FL 33021-3546 Ph: (305) 588-2314 |
| NPI Number | 1841558202 |
|---|---|
| Provider Enumeration Date | 04/23/2012 |
| Last Update Date | 04/23/2012 |
| Medicare PECOS PAC ID | 9931359965 |
|---|---|
| Medicare Enrollment ID | O20121026000673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841558202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Marlon David Gilbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568791457 PECOS PAC ID: 4183804891 Enrollment ID: I20110214000378 |
| Provider Name | Aviva C Hopkins |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1538318530 PECOS PAC ID: 3072754589 Enrollment ID: I20130725000867 |
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