| Ggb Md Pa | |
|
935 Intracoastal Dr Fort Lauderdale FL 33304-3623 | |
| (954) 776-1180 | |
| (954) 776-1181 |
| Full Name | Ggb Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 935 Intracoastal Dr, Fort Lauderdale, Florida |
| Authorized Official Name and Position | George G Boctor (OWNER) |
| Authorized Official Contact | 9547761180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ggb Md Pa Po Box 23158 Fort Lauderdale FL 33307-3158 Ph: (954) 776-1180 | Ggb Md Pa 935 Intracoastal Dr Fort Lauderdale FL 33304-3623 Ph: (954) 776-1180 |
| NPI Number | 1679813844 |
|---|---|
| Provider Enumeration Date | 02/25/2013 |
| Last Update Date | 04/25/2023 |
| Medicare PECOS PAC ID | 1456597335 |
|---|---|
| Medicare Enrollment ID | O20130419000185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679813844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME99169 (Florida) | Primary |
| Provider Name | George G Boctor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194925560 PECOS PAC ID: 3476649948 Enrollment ID: I20071013000059 |
| Provider Name | Lilliam M Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023218328 PECOS PAC ID: 0143306969 Enrollment ID: I20080319000461 |
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