Provider Demographics
NPI:1811919723
Name:ROBERT J. GULINER, CHARTERED, P.A.
Entity type:Organization
Organization Name:ROBERT J. GULINER, CHARTERED, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:GULINER
Authorized Official - Suffix:II
Authorized Official - Credentials:DO
Authorized Official - Phone:305-949-6666
Mailing Address - Street 1:PO BOX 601852
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-1852
Mailing Address - Country:US
Mailing Address - Phone:305-949-6666
Mailing Address - Fax:
Practice Address - Street 1:17971 BISCAYNE BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-2578
Practice Address - Country:US
Practice Address - Phone:305-949-6666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-24
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS3956207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL037908500Medicaid
FL037908500Medicaid