Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | ME 68259 | FL |
Y | 207RP1001X | Pulmonary Disease | ME 68259 | FL |
NPI | 1003810763 |
---|---|
Provider Name | Dr. Seth Gottlieb |
First Address | Miami Beach, FL 33140-2890 |
Second Address | Miami Beach, FL 33140-2890 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2005 |
Last Update Date | 07/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
378455000 | (05) | FL |
G08643 | (02) | FL |