DR. DANIEL GREGORY GOTTLIEB (NPI# 1417118100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417118100 |
Entity Type | Individual |
Full Name | DR. DANIEL GREGORY GOTTLIEB |
Credential | M.D. |
Practice Address |
790 Dunlawton Ave Ste E Port Orange FL 32127-4222 |
Mailing Address |
Po Box 9671 Daytona Beach FL 32120-9671 |
Practice Telephone | 3867601877 |
Mailing Telephone | 3866767130 |
Mailing Fax Number | 3866767125 |
Enumeration Date | 2008-06-24 |
Last Update Date | 2020-08-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | ME109340 | FL | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1914 State Road 44, New Smyrna Beach, FL 321688345 | 4043160185 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477769867 | Daniel Gottlieb | Psychologist | 1122 Winding Dr, Cherry Hill, NJ 08003-2731 | 2007-05-15 |
1245357615 | Daniel Gottlieb | Optometrist | 318 Walnut St Apt 302a, Chattanooga, TN 37403-1730 | 2007-03-23 |
1386754794 | Daniel C Gottlieb | Orthopaedic Surgery | 99 Pond Ave Apt 415, Brookline, MA 02445-7117 | 2006-08-30 |
1407813124 | Daniel J. Gottlieb | Internal Medicine | 850 Harrison Ave, Boston, MA 02118-4072 | 2006-04-27 |
1790778793 | Daniel W Gottlieb | Internal Medicine | 16259 Sylvester Rd Sw, Suite 401, Burien, WA 98166-3049 | 2005-08-24 |
Street Address |
790 DUNLAWTON AVE STE E |
City | PORT ORANGE |
State | FL |
Zip Code | 32127-4222 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063641520 | Michelle Suzanne Hedderich | Family Medicine | 790 Dunlawton Ave Ste E, Port Orange, FL 32127-4222 | 2009-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952918179 | Karen Lugo Morales | Massage Therapist | 1394 Dunlawton Ave, Apartment 505, Port Orange, FL 32127 | 2020-09-30 |
1265952568 | Compass Nutrition LLC | Dietitian, Registered | 840 Angelina Court, Port Orange, FL 32127 | 2017-06-27 |
1942730544 | Ambili Gopinathan Nair | Nurse Anesthetist, Certified Registered | 6216 Morning Drive, Port Orange, FL 32127 | 2017-06-15 |
1649707993 | Jill Lynn Sheldon | Social Worker | 3959 South Nova Road, Suiteb15, Port Orange, FL 32127 | 2017-05-17 |
1003350620 | Irene A Zachry | Interpreter | 6239 Yellowstone Dr. Port Orange Fl, Port Orange, FL 32127 | 2016-12-16 |
1427460328 | Jonathan Ivan Rodriguez Arocho | Chiropractor | 940 Village Trail, Unit 4-105, Port Orange, FL 32127 | 2014-05-27 |
1982015913 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1208 Dunlawton Ave, Port Orange, FL 32127 | 2014-05-13 |
1699105288 | Counseling & Consultation, Corp. | Early Intervention Provider Agency | 3959 S. Nova Rd., Suite 14, Port Orange, FL 32127 | 2013-11-18 |
1427484773 | Usv Optical Inc. | Technician/Technologist | 1800 Dunlawton Ave., Port Orange, FL 32127 | 2013-09-18 |
1104194018 | Jinny E Ruhlman | Marriage & Family Therapist | 4725 Dixie Dr, Ponce Inlet, FL 32127 | 2011-12-06 |
Find all providers in zip 32127 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134504855 | Metcare of Florida, Inc. | Family Medicine | 3641 Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2357 | 2015-07-23 |
1952637530 | Elizabeth M Daquila | Family Medicine | 851 Dunlawton Ave Ste 102, Port Orange, FL 32127-4234 | 2009-11-02 |
1295925030 | Anunporn Srisawat | Family Medicine | 4554 S Clyde Morris Blvd, Suite 2, Port Orange, FL 32129-5403 | 2007-07-27 |
1831263458 | Richard S Mohammed | Family Medicine | 6114 Pheasant Ridge Dr, Port Orange, FL 32128-6984 | 2006-11-17 |
1154409431 | Raul L Zimmerman | Family Medicine | 3800 Woodbriar Trl, Port Orange, FL 32129-9626 | 2006-11-02 |
1407964141 | David Billmeier | Family Medicine | 5111 S Ridgewood Ave Ste 301, Port Orange, FL 32127-5170 | 2006-08-25 |
1497766331 | Wagid Fahim Guirgis | Family Medicine | 3953 S Nova Rd, Port Orange, FL 32127-4910 | 2006-08-09 |
1467469700 | Bhadresh I Patel | Family Medicine | 802 Dunlawton Ave, Ste 101, Port Orange, FL 32127 | 2006-08-01 |
1043224538 | Michael Morgan Dietch IIi | Family Medicine | 3875 S Nova Rd, Port Orange, FL 32127-4950 | 2006-07-28 |
1235174095 | Atlantic Family Medicine, Pa | Family Medicine | 1185 Dunlawton Ave, Suite 104, Port Orange, FL 32127-2905 | 2006-06-17 |
Find all providers in PORT ORANGE |
City | PORT ORANGE |
Zip Code | 32127 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.