Doctor Name: | JEANNE CHATHAM GOTTLIEB |
NPI Number: | 1609071372 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 1451552 |
Business Practice Address: | 9333 Sw 152nd St Village Of Palmetto Bay, FL - 331571778 |
Business Phone Number: | 3052565356 |
Business Fax Number: | |
Mailing Address: | 9801 Sw 148th Ter, MIAMI |
State: | FL |
Postal Code: | 331767848 |
Phone Number: | 3052535209 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 1451552 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |