Bornstein, Gerald B

Bornstein, Gerald B is an individual health care provider with primary practice located at 255 N Lakemont Ave Ste 207 , Winter Park FL 32792-3219. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Bornstein, Gerald B can be contacted via phone (844) 407-4070.

Contact Information

Primary practice address
255 N Lakemont Ave Ste 207 Winter Park FL 32792-3219
Phone: (844) 407-4070
Fax: (407) 743-3050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO1564 Florida
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO1564 Florida

Profile Details

NPI number 1598771107
LBN Legal business name Bornstein, Gerald B
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 6th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598771107 NPPES
Florida MEDICAID 260921500

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