Gorelick, Maria A

Gorelick, Maria A is an sole proprietor health care provider with primary practice located at 2900 W Prospect Rd , Fort Lauderdale FL 33309-2519. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Gorelick, Maria A can be contacted via phone (954) 731-1000.

Contact Information

Primary practice address
2900 W Prospect Rd Fort Lauderdale FL 33309-2519
Phone: (954) 731-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME0060526 Florida
Other Service Providers / Specialist 174400000X ME60526 Florida

Profile Details

NPI number 1922099290
LBN Legal business name Gorelick, Maria A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2005
Last updated Mar 27th, 2019 - about 7 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 1922099290 NPPES
Florida MEDICAID 058207700

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