| G H Waked Md Inc | |
|
7421 N University Dr Ste 214 Tamarac FL 33321-6102 | |
| (954) 721-0700 | |
| (954) 722-5857 |
| Full Name | G H Waked Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7421 N University Dr Ste 214, Tamarac, Florida |
| Authorized Official Name and Position | George Waked (PHYSICIAN) |
| Authorized Official Contact | 9547210700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| G H Waked Md Inc 7421 N University Dr Ste 214 Tamarac FL 33321-6102 Ph: (954) 721-0700 | G H Waked Md Inc 7421 N University Dr Ste 214 Tamarac FL 33321-6102 Ph: (954) 721-0700 |
| NPI Number | 1972849263 |
|---|---|
| Provider Enumeration Date | 12/14/2012 |
| Last Update Date | 12/14/2012 |
| Medicare PECOS PAC ID | 7810133832 |
|---|---|
| Medicare Enrollment ID | O20130418000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972849263 | NPI | - | NPPES |
| PTAN | Other | FL | 93715 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME33761 (Florida) | Primary |
| Provider Name | George Waked |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407960198 PECOS PAC ID: 3971749904 Enrollment ID: I20130418000187 |
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