Gartner, Michael
Gartner, Michael is an individual health care provider with primary practice located at 200 Nw 7Th Ave Phoenix Emergency Medicine Of Broward, Llc, Fort Lauderdale FL 33311-9026. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gartner, Michael can be contacted via phone (954) 759-6793.Contact Information
Primary practice address
200 Nw 7Th Ave Phoenix Emergency Medicine Of Broward, Llc
Fort Lauderdale FL 33311-9026
Phone: (954) 759-6793
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9101158 | Florida |
Profile Details
NPI number | 1487643110 |
---|---|
LBN Legal business name | Gartner, Michael |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 15th, 2005 |
Last updated | May 14th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487643110 | NPPES |
Florida | MEDICAID | 292108100 | |
Florida | Other | E6648 |
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