Provider Demographics
NPI:1790024941
Name:GEBBIE, DOUGLAS MAIR (MD)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:MAIR
Last Name:GEBBIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 GLENVIEW PL APT 907
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-3131
Mailing Address - Country:US
Mailing Address - Phone:239-777-0829
Mailing Address - Fax:
Practice Address - Street 1:100 GLENVIEW PL APT 907
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-3131
Practice Address - Country:US
Practice Address - Phone:239-777-0829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME26498208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice