Organization Name: | LEE A GIBSTEIN MD PA |
NPI Number: | 1427393800 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEE A GIBSTEIN (OWNER) |
Mailing Address: | 1111 Kane Concourse Suite 311 Bay Harbor Islands |
State: | FL US |
Postal Code: | 331542029 |
Phone Number: | 3058652802 |
Fax Number: | 3058659257 |
NPI Enumeration Date: | 12/11/2012 |
NPI Last Update Date: | 12/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |