Gibbons, Olga

Gibbons, Olga is an sole proprietor health care provider with primary practice located at 3385 Burns Rd Ste 203 , Palm Beach Gardens FL 33410-4328. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gibbons, Olga can be contacted via phone (561) 768-7886.

Contact Information

Primary practice address
3385 Burns Rd Ste 203 Palm Beach Gardens FL 33410-4328
Phone: (561) 768-7886
Fax: (561) 627-3991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 161590 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME114917 Florida

Profile Details

NPI number 1689636268
LBN Legal business name Gibbons, Olga
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2006
Last updated May 10th, 2019 - about 5 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 1689636268 NPPES
Florida MEDICAID 014685500-EFF 4/9/15
Florida Other DV3514-P01508770
Florida MEDICAID 00930176
Florida MEDICAID 01468550
Florida MEDICAID 60D241

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