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Organization
SOUTH FLORIDA GERIATRIC MEDICINE PA
Active
Organization
SOUTH FLORIDA GERIATRIC MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HADY ALMASRI DO (OWNER)
(786) 709-6162
Entity
Organization
Contact information
Practice address
3200 S UNIVERSITY DR, SANDFORD L. ZIFF BLDG, DAVIE, FL 33328-2018
(954) 262-4100
Mailing address
529 MAJORCA AVE, CORAL GABLES, FL 33134-4221
(786) 709-6162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS10363
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002276300
—
FL
01
—
CO392Z
MEDICARE PTAN NUMBER
FL
Enumeration date
03/24/2015
Last updated
03/24/2015
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