Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | MD449523 | PA |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | ME140298 | FL |
NPI | 1053588897 |
---|---|
Provider Name | Dr. David R Gater JR. |
First Address | Miami, FL 33136-2107 |
Second Address | Miami, FL 33136-2107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2008 |
Last Update Date | 22/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G37693 | (02) |