Individual
GALAL ELGAZZAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1601 S ANDREWS AVE FL 3, FT LAUDERDALE, FL 33316-2509
(954) 320-3304
(954) 320-3318
Mailing address
1608 SE 3RD AVE FL 3, FORT LAUDERDALE, FL 33316-2564
(954) 320-3304
(954) 320-3318
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
ME126586
FL
208600000X
Surgery Physician
Primary
ME126586
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017592500
—
FL
Enumeration date
08/28/2012
Last updated
02/11/2025
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