Small, Gary David

Small, Gary David is an sole proprietor health care provider with primary practice located at 1879 Hidden Trail Ln , Weston FL 33327-1456. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Small, Gary David can be contacted via phone (305) 469-9041.

Contact Information

Primary practice address
1879 Hidden Trail Ln Weston FL 33327-1456
Phone: (305) 469-9041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO-0002363 Florida

Profile Details

NPI number 1326152810
LBN Legal business name Small, Gary David
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2006
Last updated Nov 1st, 2016 - about 8 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 1326152810 NPPES
Florida MEDICAID 390143200
Florida Other 65318

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