Pitts, Gary M

Pitts, Gary M is an individual health care provider with primary practice located at 305 Memorial Medical Pkwy Ste 502 , Daytona Beach FL 32117-5169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pitts, Gary M can be contacted via phone (386) 231-3570.

Contact Information

Primary practice address
305 Memorial Medical Pkwy Ste 502 Daytona Beach FL 32117-5169
Phone: (386) 231-3570
Fax: (386) 231-3571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01043021 Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME148019 Florida

Profile Details

NPI number 1467428318
LBN Legal business name Pitts, Gary M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Apr 30th, 2021 - about 5 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 1467428318 NPPES
Indiana Other PO1114038 RR MEDICARE
Indiana MEDICAID 100376300A RR MEDICARE
Indiana Other 000000767103 RR MEDICARE

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