Provider Demographics
NPI:1619269727
Name:VICTORIA M GAUS MD PA
Entity Type:Organization
Organization Name:VICTORIA M GAUS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GAUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-431-8022
Mailing Address - Street 1:9877 PINES BLVD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6164
Mailing Address - Country:US
Mailing Address - Phone:954-431-8022
Mailing Address - Fax:954-431-8078
Practice Address - Street 1:9877 PINES BLVD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6164
Practice Address - Country:US
Practice Address - Phone:954-431-8022
Practice Address - Fax:954-431-8078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-07
Last Update Date:2011-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty