Provider Demographics
NPI:1013463330
Name:GBMT PLLC
Entity type:Organization
Organization Name:GBMT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RESIT
Authorized Official - Middle Name:CEM
Authorized Official - Last Name:CEZAYIRLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-787-8676
Mailing Address - Street 1:875 MEADOWS ROAD
Mailing Address - Street 2:SUITE 311
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486
Mailing Address - Country:US
Mailing Address - Phone:205-787-8676
Mailing Address - Fax:205-785-7944
Practice Address - Street 1:875 MEADOWS RD
Practice Address - Street 2:SUITE 311
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2349
Practice Address - Country:US
Practice Address - Phone:205-787-8676
Practice Address - Fax:205-785-7944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME114388174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty