Gibson, Paul E.

Gibson, Paul E. is an individual health care provider with primary practice located at 52 W Underwood St , Orlando FL 32806-1110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Gibson, Paul E. can be contacted via phone (321) 842-8475.

Contact Information

Primary practice address
52 W Underwood St Orlando FL 32806-1110
Phone: (321) 842-8475
Fax: (570) 271-5976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD437079 Pennsylvania
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD437079 Pennsylvania
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME130359 Florida

Profile Details

NPI number 1376872614
LBN Legal business name Gibson, Paul E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2009
Last updated Mar 27th, 2023 - about last year

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 1376872614 NPPES
Florida Other MD028 MEDICARE PTAN OHRI
Florida Other 4EJ6K MEDICARE PTAN OHRI
Florida Other PR971 MEDICARE PTAN OHRI
Florida MEDICAID 101186400 MEDICARE PTAN OHRI

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