Provider Demographics
NPI:1013945005
Name:GILBERT, DAVID H (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:H
Last Name:GILBERT
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 1:5301 N. DIXIE HWY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33334-3403
Mailing Address - Country:US
Mailing Address - Phone:954-771-3334
Mailing Address - Fax:954-771-1069
Practice Address - Street 1:5301 N. DIXIE HWY
Practice Address - Street 2:SUITE 203
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33334-3403
Practice Address - Country:US
Practice Address - Phone:954-771-3334
Practice Address - Fax:954-771-1069
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 75484207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG57506Medicare UPIN
FL7576000001Medicare NSC