Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME48484 | FL |
N | 2080P0204X | Pediatric Emergency Doctor | ME48484 | FL |
NPI | 1235154592 |
---|---|
Provider Name | Dr. Gregory G. Gaar |
First Address | Sunrise, FL 33323-2865 |
Second Address | Tampa, FL 33606-3508 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02211 | BLUE SHIELD (01) | FL |
C99506 | (02) | |
P00010877 | RAILROAD MEDICARE (01) | FL |