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Individual

EDWARD L GHEILER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2140 W 68TH ST, SUITE 200, HIALEAH, FL 33016-1815
(305) 822-7227
(305) 827-6333
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME74630
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1251374
WELLCARE
FL
01
258481
AVMED
FL
01
4133112
CIGNA
FL
01
46615
BCBS
FL
01
7142033
AETNA
FL
01
P01601019
RR MEDICARE
FL
01
P01718270
SIMPLY
FL
01
P942070
OPTIMUM
FL
01
P985853
FREEDOM
FL
Enumeration date
04/26/2006
Last updated
11/09/2016
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