Gilderman, Larry I

Gilderman, Larry I is an sole proprietor health care provider with primary practice located at 1150 N University Dr , Pembroke Pines FL 33024-5031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gilderman, Larry I can be contacted via phone (954) 432-7860.

Contact Information

Primary practice address
1150 N University Dr Pembroke Pines FL 33024-5031
Phone: (954) 432-7860
Fax: (954) 432-2109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS0003370 Florida

Profile Details

NPI number 1164485843
LBN Legal business name Gilderman, Larry I
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2006
Last updated Jul 1st, 2010 - about 14 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 1164485843 NPPES
Florida MEDICAID 052423900

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