| NPI | 1013311844 |
|---|---|
| Other Name | CARL C. GITTENS MD PA |
| Entity Type | Organization |
| Authorized Contact | CARL C. GITTENS President 772-215-5905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL ME53378) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2015-04-14 |