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NPI Code Detail

MEDICARE: STEVEN MICHAEL GOTTLIEB M.D.

MEDICARE:   STEVEN MICHAEL GOTTLIEB  M.D.
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
1207LP2900XPain Medicine (Anesthesiology) PhysicianME57265FL

General Provider Information

NPI Number : 1598910010
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN MICHAEL GOTTLIEB M.D.
Provider Business Mailing Address
First Line : PO BOX 33058
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33420-3058
Country : US
Telephone Number : 561-799-3552
Fax Number : 561-799-3527
Provider Business Practice Location Address
First Line : 7111 FAIRWAY DR
Second Line : SUITE 202
City : PALM BEACH GARDENS
State : FL
Zip : 33418-4204
Country : US
Telephone Number : 561-799-3552
Fax Number : 561-799-3527
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2008
Last Update Date : 11/25/2008

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