Organization Name: | PAUL G. GIPPS, MD |
NPI Number: | 1700212859 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HOLLY LOPEZ (VP SUPPORT SERVICES) |
Mailing Address: | 8608 Bird Rd Miami |
State: | FL US |
Postal Code: | 331553216 |
Phone Number: | 3055513200 |
Fax Number: | 3052221713 |
NPI Enumeration Date: | 09/20/2013 |
NPI Last Update Date: | 09/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332900000X |
License Number: | ME404425 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Non-Pharmacy Dispensing Site |
Taxonomy Specialization: | |
Taxonomy Definition: | A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |