Provider Demographics
NPI:1043536402
Name:ON CALL, INC
Entity type:Organization
Organization Name:ON CALL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PREISDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:D
Authorized Official - Last Name:GOTTLIEB
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:561-762-6354
Mailing Address - Street 1:6660 ASHBURN RD
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-7316
Mailing Address - Country:US
Mailing Address - Phone:800-872-1404
Mailing Address - Fax:561-966-0531
Practice Address - Street 1:6660 ASHBURN RD
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-7316
Practice Address - Country:US
Practice Address - Phone:800-872-1404
Practice Address - Fax:561-966-0531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-10
Last Update Date:2010-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty