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General NPI Number Information
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NPI Number | 1518565639
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Entity Type | Organization
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Legal Business Name | NORMAN B. GAYLIS M.D. PA
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Dates
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Enumeration Date | 10/12/2020
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 2801 NE 213TH ST STE 801
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City | AVENTURA
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State | FL
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Zip | 33180-1264
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Country | US
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Telephone | 305-652-6676
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Fax | 305-932-6335
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Provider Business Mailing Address
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Address Line | 2801 NE 213TH ST STE 801
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City | AVENTURA
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State | FL
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Zip | 33180-1264
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Country | US
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Telephone | 305-652-6676
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Fax | 305-932-6335
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Authorized Official
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Title or Position | OWNER
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Name | DR. NORMAN B GAYLIS
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Credential | MD
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Telephone | 305-652-6676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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