Fred S Gurtman, MD
Individual provider Active NPI Dermatology Physician · Belleair, FL
NPI 1992941975 · NPPES record last updated Jul 24, 2019
Key facts
- NPI
- 1992941975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- ME43623 (FL)
- Practice address
- 609 Indian Rocks Rd
Belleair, FL 33756 - Phone
- (855) 353-7546
- Fax
- (727) 315-0911
- NPI assigned
- Dec 23, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME43623 | FL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suncoast Medical Clinic LLC | Past | Accepting new patients | |
| Suncoast Medical Clinic LLC | Past | Accepting new patients | |
| Suncoast Medical Clinic LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME43623 | FL | Yes |
Addresses
Primary practice location
609 Indian Rocks Rd
Belleair, FL 33756
Mailing address
1450 6TH St SE
Winter Haven, FL 33880-4505
Phone (855) 353-7546
Other providers in Belleair, FL
- Roberta Felici
- Lisa A Garner
- Gastrointestinal Ambulatory Services LLC
- Gold Primary Care, LLC
- Gulfside Anesthesia Services LLC
- Hanley & Hanley MD PA
- Alicia Marie Hess
- Demetrios N Kaiafas
- Lorelei Keif
- Mitchell Kroungold
All providers in Belleair, FL · Dermatology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.