Provider Demographics
NPI:1528117314
Name:LEUNG, GILBERT W (MD)
Entity type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:W
Last Name:LEUNG
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 1:888 NE 126TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-4964
Mailing Address - Country:US
Mailing Address - Phone:305-899-1406
Mailing Address - Fax:305-899-1352
Practice Address - Street 1:888 NE 126TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-4964
Practice Address - Country:US
Practice Address - Phone:305-899-1406
Practice Address - Fax:305-899-1352
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0039037207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL96170Medicare ID - Type Unspecified
FLD63759Medicare UPIN