Gershenbaum, Sam
Gershenbaum, Sam is an sole proprietor health care provider with primary practice located at 2954 Aventura Blvd # B , Aventura FL 33180-3103. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Gershenbaum, Sam can be contacted via phone (305) 933-1838.Contact Information
Primary practice address
2954 Aventura Blvd # B
Aventura FL 33180-3103
Phone: (305) 933-1838
Fax: (305) 933-1850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | OS 000 5992 | Florida |
Profile Details
| NPI number | 1013013127 |
|---|---|
| LBN Legal business name | Gershenbaum, Sam |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013013127 | NPPES |
| Florida | Other | 80916 | BLUE CROSS/BLUE SHIELD |
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