Gay, Madison W

Gay, Madison W is an individual health care provider with primary practice located at 832 W Central Blvd , Orlando FL 32805-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Gay, Madison W can be contacted via phone (407) 836-2619.

Contact Information

Primary practice address
832 W Central Blvd Orlando FL 32805-1809
Phone: (407) 836-2619
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ACN136 Florida

Profile Details

NPI number 1508885310
LBN Legal business name Gay, Madison W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Dec 19th, 2012 - about 14 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 1508885310 NPPES
Florida MEDICAID 379356700

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