Organization
PLANTATION PAVILION OB-GYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGES EDOUARD M.D. (OB-GYN)
(954) 587-0351
Entity
Organization
Contact information
Practice address
4330 W BROWARD BLVD, STE C, PLANTATION, FL 33317-3775
(954) 587-0351
(954) 990-6464
Mailing address
4330 W BROWARD BLVD, STE C, PLANTATION, FL 33317-3775
(954) 587-0351
(954) 990-6464
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
650305871
—
FL
Enumeration date
05/19/2014
Last updated
05/19/2014
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