JEFFREY S GORODETSKY MD PA NPI 1811186653

NPI Information

  • NPI: 1811186653
  • Provider Name: JEFFREY S GORODETSKY MD PA
  • Classification: Legal Medicine - 173000000X
  • Entity Type: Organization
  • Address: 433 E OCEAN BLVD
    STUART, FL
    ZIP 34994
  • Phone: (772) 223-4504

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NPI Details

JEFFREY S GORODETSKY MD PA is a legal medicine in Stuart, FL. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. JEFFREY S GORODETSKY MD PA NPI is 1811186653. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

433 E OCEAN BLVD
STUART, FL
ZIP 34994-573
Phone: (772) 223-4504
Fax: (772) 223-5988

The provider's authorized official is Jeffrey S Gorodetsky .
The authorized official title is President and has the following contact phone number (772) 223-4504.

The enumeration date for this NPI number is 10/17/2007 and was last updated on 9/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1173000000XLegal MedicineME0053894FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
107463POTHERFLORIDAMEDICARE INDIVIDUAL
2048745701MEDICAIDFLORIDA
3=========OTHERFLORIDATIN
407463OTHERFLORIDABLUE CROSS BLUE SHIELD
5K9632OTHERFLORIDAMEDICACE GROUP
6P00307631OTHERFLORIDARAILROAD MEDICARE
7D21226MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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