Provider Demographics
NPI:1487712006
Name:GOTTLIEB, STUART (MD)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:
Last Name:GOTTLIEB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:180 EDGEWATER DR
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33133-6913
Mailing Address - Country:US
Mailing Address - Phone:305-667-2809
Mailing Address - Fax:305-661-3935
Practice Address - Street 1:180 EDGEWATER DR
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33133-6913
Practice Address - Country:US
Practice Address - Phone:305-667-2809
Practice Address - Fax:305-661-3935
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 19871207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology