| Gotlin Obgyn & Wellness, P.a. | |
|
300 W 41st St Ste 205 Miami Beach FL 33140-3627 | |
| (305) 280-0643 | |
| (305) 363-5541 |
| Full Name | Gotlin Obgyn & Wellness, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 W 41st St Ste 205, Miami Beach, Florida |
| Authorized Official Name and Position | Douglas Lee Gotlin (PRESIDENT) |
| Authorized Official Contact | 7863205870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gotlin Obgyn & Wellness, P.a. Po Box 279191 Miramar FL 33027-9191 Ph: (786) 320-5870 | Gotlin Obgyn & Wellness, P.a. 300 W 41st St Ste 205 Miami Beach FL 33140-3627 Ph: (305) 280-0643 |
| NPI Number | 1922448497 |
|---|---|
| Provider Enumeration Date | 06/28/2013 |
| Last Update Date | 02/17/2022 |
| Medicare PECOS PAC ID | 4082857578 |
|---|---|
| Medicare Enrollment ID | O20130930000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922448497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1300011234 (Florida) | Primary |
| Provider Name | Douglas L Gotlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134153307 PECOS PAC ID: 0547155160 Enrollment ID: I20040220000770 |
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