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Organization
MEDICAL SPECIALISTS OF FORT LAUDERDALE INC
Active
Organization
MEDICAL SPECIALISTS OF FORT LAUDERDALE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB GITMAN (CEO)
(954) 248-3422
Entity
Organization
Contact information
Practice address
8395 W OAKLAND PARK BLVD, SUITE A, SUNRISE, FL 33351-7301
(954) 747-6220
(954) 747-6755
Mailing address
8395 W OAKLAND PARK BLVD, SUITE A, SUNRISE, FL 33351-7301
(954) 747-6220
(954) 747-6755
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Enumeration date
04/08/2011
Last updated
01/28/2022
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