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General NPI Number Information
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NPI Number | 1891367819
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Entity Type | Organization
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Legal Business Name | GILBERT MBEO MD LLC
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Dates
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Enumeration Date | 07/12/2021
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 13563 NARCOOSSEE RD STE 120
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City | ORLANDO
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State | FL
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Zip | 32832-7138
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Country | US
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Telephone | 407-721-3460
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Fax |
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Provider Business Mailing Address
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Address Line | 13563 NARCOOSSEE RD STE 120
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City | ORLANDO
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State | FL
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Zip | 32832-7138
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GILBERT MBEO
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Credential | MD
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Telephone | 443-839-4889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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