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JEFFREY S GOTTFRIED DO PA NPI 1164630091


NPI Information

NPI: 1164630091
Provider Name: JEFFREY S GOTTFRIED DO PA

Doing Business As: FORT PIERCE WALK IN MEDICAL

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
900 VIRGINIA AVE
SUITE 10
FORT PIERCE, FL
ZIP 34982
Phone: (772) 464-6551
Get Directions

JEFFREY S GOTTFRIED DO PA is a family medicine in Fort Pierce, FL. The provider is 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. JEFFREY S GOTTFRIED DO PA NPI is 1164630091. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fort Pierce Walk In Medical.

The provider's business location address is:

900 VIRGINIA AVE
SUITE 10
FORT PIERCE, FL
ZIP 34982-882
Phone: (772) 464-6551
Fax: (772) 465-0322

The provider's authorized official is Jeffrey Stuart Gottried .
The authorized official title is Owner Physician and has the following contact phone number (772) 464-6551.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 5/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine0S7057FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K4574MEDICARE ID-TYPE UNSPECIFIEDFLORIDAGROUP ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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