Gittelman, Marc C.

Gittelman, Marc C. is an individual health care provider with primary practice located at 21150 Biscayne Blvd Suite 404, Aventura FL 33180-1226. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Gittelman, Marc C. can be contacted via phone (305) 466-9111.

Contact Information

Primary practice address
21150 Biscayne Blvd Suite 404 Aventura FL 33180-1226
Phone: (305) 466-9111
Fax: (305) 466-9127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME53015 Florida
Allopathic & Osteopathic Physicians / Urology 208800000X ME53015 Florida

Profile Details

NPI number 1174587604
LBN Legal business name Gittelman, Marc C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Apr 10th, 2017 - about 7 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 1174587604 NPPES
Florida MEDICAID 001601400
Florida Other 05776
Florida Other P0003164
Florida Other 4068398
Florida Other P00721039
Florida Other QMP000004462340
Florida Other 1193060
Florida Other P01730303

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