Healthcare Provider Details

I. General information

NPI: 1639032667
Provider Name (Legal Business Name): FYZICAL DELAWARE NORTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 SILVERSIDE RD STE B
WILMINGTON DE
19810-5100
US

IV. Provider business mailing address

3600 SILVERSIDE RD STE B
WILMINGTON DE
19810-5100
US

V. Phone/Fax

Practice location:
  • Phone: 302-212-4778
  • Fax: 302-203-9966
Mailing address:
  • Phone: 302-212-4778
  • Fax: 302-203-9966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: BRIAN GILBERT
Title or Position: OWNER
Credential:
Phone: 302-212-4778