Healthcare Provider Details

I. General information

NPI: 1265377378
Provider Name (Legal Business Name): GILBERT MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 SW 7TH ST STE 1511
MIAMI FL
33130-2955
US

IV. Provider business mailing address

3868 SHERIDAN ST STE A
HOLLYWOOD FL
33021-3623
US

V. Phone/Fax

Practice location:
  • Phone: 305-454-5946
  • Fax: 305-433-3855
Mailing address:
  • Phone: 954-962-2309
  • Fax: 954-842-4590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MARLON DAVID GILBERT
Title or Position: OWNER
Credential: MD
Phone: 954-962-2309