Gay, Madison W
Gay, Madison W is an individual health care provider with primary practice located at 832 W Central Blvd , Orlando FL 32805-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Gay, Madison W can be contacted via phone (407) 836-2619.Contact Information
Primary practice address
832 W Central Blvd
Orlando FL 32805-1809
Phone: (407) 836-2619
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ACN136 | Florida |
Profile Details
| NPI number | 1508885310 |
|---|---|
| LBN Legal business name | Gay, Madison W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Dec 19th, 2012 - about 12 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 | 1508885310 | NPPES |
| Florida | MEDICAID | 379356700 |
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