Jeffrey S Gorodetsky Md Pa

LBN: Jeffrey S Gorodetsky Md Pa
Jeffrey S Gorodetsky Md Pa is an health care organization with primary practice located at 433 E Ocean Blvd , Stuart FL 34994-2573. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Jeffrey S Gorodetsky Md Pa can be contacted via phone (772) 223-4504, or through Gorodetsky, Jeffrey S via phone (772) 223-4504.

Contact Information

Primary practice address
433 E Ocean Blvd Stuart FL 34994-2573
Phone: (772) 223-4504
Fax: (772) 223-5988
Website:
Map and Directions
Authorized official contact:
Name: Gorodetsky, Jeffrey S Doctor of Medicine (MD)
Phone: (772) 223-4504

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X ME0053894 Florida

Profile Details

NPI number 1811186653
LBN Legal business name Jeffrey S Gorodetsky Md Pa
DBA Doing business as
Authorized official Gorodetsky, Jeffrey S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2007
Last updated Sep 17th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811186653 NPPES
Florida Other 07463 BLUE CROSS BLUE SHIELD
Florida Other P00307631 BLUE CROSS BLUE SHIELD
Florida MEDICAID 048745701 BLUE CROSS BLUE SHIELD
Florida Other 07463P BLUE CROSS BLUE SHIELD
Florida Other K9632 BLUE CROSS BLUE SHIELD

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