Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | UO 4911 | FL |
NPI | 1013366640 |
---|---|
Provider Name | Dr. Michael Gulenay |
First Address | Port Saint Lucie, FL 34952-7521 |
Second Address | Port Saint Lucie, FL 34952-7521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2016 |
Last Update Date | 04/06/2016 |