Gildin, Jonathan David

Gildin, Jonathan David is an individual health care provider with primary practice located at 1625 Se 3Rd Ave Ste 300 , Fort Lauderdale FL 33316-2521. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Gildin, Jonathan David can be contacted via phone (954) 355-4665.

Contact Information

Primary practice address
1625 Se 3Rd Ave Ste 300 Fort Lauderdale FL 33316-2521
Phone: (954) 355-4665
Fax: (954) 355-4881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9105788 Florida

Profile Details

NPI number 1972804557
LBN Legal business name Gildin, Jonathan David
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2010
Last updated Apr 3rd, 2024 - about 7 months 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 1972804557 NPPES
Florida Other PA9105788 DOH
Florida MEDICAID 008462700 DOH

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