Gotlin OBGYN & Wellness, P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1300011234 Issued in FL

Legal business name

GOTLIN OBGYN & WELLNESS, P.A.

Practice address

300 W 41St St Ste 205
Miami Beach, FL 33140-3627

Phone

(305) 280-0643

Fax

(305) 363-5541

NPI assigned

Jun 28, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Douglas Lee Gotlin, D.O.

Title

President

Phone

(786) 320-5870

Specialties & licenses 1

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1922448497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279191",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330279191",
            "telephone_number": "786-320-5870",
            "fax_number": "786-320-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 41ST ST STE 205",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403627",
            "telephone_number": "305-280-0643",
            "fax_number": "305-363-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTLIN OBGYN & WELLNESS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "GOTLIN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-320-5870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "1300011234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fsmsbilling@att.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "300 W 41st St Ste 205",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331403627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew Gordon, DPM
• Dana Paige Gordon, L.M., C.P.M.
• Jason Gordon
• Ryan Gorecki
• Teannie Goris, OTR/L
• Seth Gottlieb, M.D.,F.C.C.P
• Spencer A Grabois, DO
• Angele Gracia
• Graham Mouw, MD, Professional Association
• Amy Elizabeth Green, PHARMD

• Clinic/Center in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.