Gottlieb, Gary David

Gottlieb, Gary David is an individual health care provider with primary practice located at 451 S Country Club Dr , Atlantis FL 33462-1239. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Gottlieb, Gary David can be contacted via phone (561) 762-6354.

Contact Information

Primary practice address
451 S Country Club Dr Atlantis FL 33462-1239
Phone: (561) 762-6354
Fax: (561) 966-0531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA2199 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 035803 New York

Profile Details

NPI number 1659352508
LBN Legal business name Gottlieb, Gary David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jun 15th, 2026 - about 5 months 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 1659352508 NPPES
Florida MEDICAID 000969400

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