Carl C. Gittens Md Pa | |
789 Sw Federal Hwy Ste 212 Stuart FL 34994-2962 | |
(772) 215-5905 | |
(772) 905-3336 |
Full Name | Carl C. Gittens Md Pa |
---|---|
Speciality | Community/behavioral Health |
Location | 789 Sw Federal Hwy Ste 212, Stuart, Florida |
Authorized Official Name and Position | Carl C. Gittens (PRESIDENT) |
Authorized Official Contact | 7722155905 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carl C. Gittens Md Pa 789 Sw Federal Hwy Ste 212 Stuart FL 34994-2962 Ph: (772) 215-5905 | Carl C. Gittens Md Pa 789 Sw Federal Hwy Ste 212 Stuart FL 34994-2962 Ph: (772) 215-5905 |
NPI Number | 1013311844 |
---|---|
Provider Enumeration Date | 10/22/2014 |
Last Update Date | 04/14/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013311844 | NPI | - | NPPES |
ME53378 | Other | FL | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | ME53378 (Florida) | Primary |
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