Individual provider · NPI-1

Gary A Birken, MD

Surgery, Pediatric Surgery · Hollywood, FL

NPI number1164526802

StatusActive

Last updated in NPPESFeb 4, 2020

Details

NPI: 1164526802
Entity type: Individual (NPI-1)
Name: Gary A Birken
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Sep 12, 2006
Certification date: Feb 4, 2020
Last updated: Feb 4, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2086S0120X	Surgery, Pediatric Surgery	ME48741	FL	Yes

Practice location

1150 N 35th Ave
Ste 555
Hollywood, FL 33021

Phone 954-981-0072 · Fax 954-981-0188

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925

Phone 954-276-5685 · Fax 954-985-7074

Other practice locations

3377 South State Rd 7
Suite 100
Wellington, FL 33449

Phone 561-341-7000

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