Individual
ROY GAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14000 FIVAY RD, HUDSON, FL 34667
(727) 861-5155
Mailing address
1 TAMPA GENERAL CIRCLE, SUITE A327, TAMPA, FL 33606-3571
(813) 844-7677
(813) 844-4972
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME86979
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267357600
—
FL
Enumeration date
04/03/2006
Last updated
04/07/2010
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