Gilderman, Larry I
Gilderman, Larry I is an sole proprietor health care provider with primary practice located at 1150 N University Dr , Pembroke Pines FL 33024-5031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gilderman, Larry I can be contacted via phone (954) 432-7860.Contact Information
Primary practice address
1150 N University Dr
Pembroke Pines FL 33024-5031
Phone: (954) 432-7860
Fax: (954) 432-2109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS0003370 | Florida |
Profile Details
| NPI number | 1164485843 |
|---|---|
| LBN Legal business name | Gilderman, Larry I |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Jul 1st, 2010 - about 16 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 | 1164485843 | NPPES |
| Florida | MEDICAID | 052423900 |
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