# SOUTH FLORIDA GERIATRIC MEDICINE PA

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

## Provider details

- **NPI number:** 1538553821
- **Authorized official:** DR. HADY ALMASRI DO (OWNER)
- **Authorized official phone:** (786) 709-6162

## Contact information

- **Practice address:** 3200 S UNIVERSITY DR, SANDFORD L. ZIFF BLDG, DAVIE, FL 33328-2018
- **Practice address phone:** (954) 262-4100
- **Mailing address:** 529 MAJORCA AVE, CORAL GABLES, FL 33134-4221
- **Mailing address phone:** (786) 709-6162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS10363 | FL | Yes |

## Other

- **Enumeration date:** 03/24/2015
- **Last updated:** 03/24/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002276300 | — | FL |
| 01 | — | CO392Z | MEDICARE PTAN NUMBER | FL |