Gershenbaum, Sam

Gershenbaum, Sam is an sole proprietor health care provider with primary practice located at 2954 Aventura Blvd # B , Aventura FL 33180-3103. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Gershenbaum, Sam can be contacted via phone (305) 933-1838.

Contact Information

Primary practice address
2954 Aventura Blvd # B Aventura FL 33180-3103
Fax: (305) 933-1850
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X OS 000 5992 Florida

Profile Details

NPI number 1013013127
LBN Legal business name Gershenbaum, Sam
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013013127 NPPES
Florida Other 80916 BLUE CROSS/BLUE SHIELD

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