MEDICARE: FYZICAL DELAWARE NORTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1639032667
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FYZICAL DELAWARE NORTH LLC

Provider Business Mailing Address
First Line	:	3600 SILVERSIDE RD STE B
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19810-5100
Country	:	US
Telephone Number	:	302-212-4778
Fax Number	:	302-203-9966

Provider Business Practice Location Address
First Line	:	3600 SILVERSIDE RD STE B
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19810-5100
Country	:	US
Telephone Number	:	302-212-4778
Fax Number	:	302-203-9966

Authorized Official
Title or Position	:	OWNER
Name	:	BRIAN GILBERT
Credential	:
Telephone Number	:	302-212-4778

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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Directions to “FYZICAL DELAWARE NORTH LLC ” Practice Location

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