Gewolb, Jay D.

Gewolb, Jay D. is an individual health care provider with primary practice located at 500 Winderley Pl Ste 115 , Maitland FL 32751-7406. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Gewolb, Jay D. can be contacted via phone (407) 581-9180.

Contact Information

Primary practice address
500 Winderley Pl Ste 115 Maitland FL 32751-7406
Phone: (407) 581-9180
Fax: (865) 560-7066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME55713 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME55713 Florida

Profile Details

NPI number 1740200864
LBN Legal business name Gewolb, Jay D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jan 11th, 2018 - about 6 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 1740200864 NPPES
Other 050066862 RAILROAD MEDICARE
Other XXX-XX-8006 RAILROAD MEDICARE
Other 09206 RAILROAD MEDICARE
MEDICAID 0636517 00 RAILROAD MEDICARE

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