Provider Demographics
NPI:1679570683
Name:GALBUT, DAVID L (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:L
Last Name:GALBUT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 577
Mailing Address - Street 2:
Mailing Address - City:CIRCLE PINES
Mailing Address - State:MN
Mailing Address - Zip Code:55014-0577
Mailing Address - Country:US
Mailing Address - Phone:786-268-8229
Mailing Address - Fax:786-268-4561
Practice Address - Street 1:4770 BISCAYNE BLVD
Practice Address - Street 2:SUITE 880
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-3202
Practice Address - Country:US
Practice Address - Phone:786-268-8229
Practice Address - Fax:786-268-4561
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2020-09-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME28970208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL95675ZOtherPHYSICIANS HEALTH CARE
95675COtherBEECHSTREET
M289701OtherPREFERRED MEDICAL PLAN
180OtherTOTAL HEALTH CHOICE
FL780001501OtherMEDICARE RAILROAD
FL040530200Medicaid
FL2092136OtherAETNA
234411OtherAVMED
95675ZOtherHEALTH EASE
05585OtherNEIGHBORHOOD
22431OtherWELLCARE
05606OtherUNIVERSAL HEALTH CARE
1001693OtherCARE PLUS
200841OtherAMERIGROUP
D64817OtherVISTA
FLME28970OtherSTATE MEDICAL LICENSE
95675OtherBCBS
G64817Medicare UPIN
FL040530200Medicaid