Gotman, Sandra Rachel

Gotman, Sandra Rachel is an individual health care provider with primary practice located at 11760 Sw 40Th St Ste 448 , Miami FL 33175-3598. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Gotman, Sandra Rachel can be contacted via phone (305) 229-9595.

Contact Information

Primary practice address
11760 Sw 40Th St Ste 448 Miami FL 33175-3598
Phone: (305) 229-9595
Fax: (305) 229-9596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X P0-1678 Florida

Profile Details

NPI number 1508851692
LBN Legal business name Gotman, Sandra Rachel
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Aug 14th, 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 1508851692 NPPES
Florida MEDICAID 029757700
Florida Other 87910

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