# GA MEDICORP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366380040
- **Authorized official:** GERARDO AGUILERA GONZALEZ (OWNER)
- **Authorized official phone:** (954) 881-9852

## Contact information

- **Practice address:** 3157 N UNIVERSITY DR STE 103, HOLLYWOOD, FL 33024-2258
- **Practice address phone:** (954) 881-9852
- **Practice address fax:** (954) 852-4314
- **Mailing address:** 3157 N UNIVERSITY DR STE 103, DAVIE, FL 33024-2258
- **Mailing address phone:** (954) 758-4127
- **Mailing address fax:** (954) 405-8794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/23/2026
- **Last updated:** 08/10/2026