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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487643110 NPPES
Florida MEDICAID 292108100
Florida Other E6648

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