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Individual

DAVID A. GEDULD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1960 NE 47TH ST, 2ND FLOOR, FT LAUDERDALE, FL 33308-7708
(954) 493-5005
(954) 938-0957
Mailing address
1960 NE 47TH ST, 2ND FLOOR, FT LAUDERDALE, FL 33308-7708
(954) 493-5005
(954) 938-0957

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0064605
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26144
BCBS OF FLORIDA
FL
01
285907
AVMED
FL
01
P00026182
RAILROAD MEDICARE
FL
Enumeration date
01/12/2006
Last updated
07/08/2007
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