Organization
BDG MEDICAL SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAHJAT GHANEM MD (PRESIDENT)
(305) 439-1287
Entity
Organization
Contact information
Practice address
7611 SW 78TH CT, MIAMI, FL 33143-4029
(305) 439-1287
Mailing address
7611 SW 78TH CT, MIAMI, FL 33143-4029
(305) 439-1287
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME 66087
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373630000
—
FL
Enumeration date
01/26/2016
Last updated
01/26/2016
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