Individual
GALAL ELGAZZAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1625 SE 3RD AVE STE 421, FT LAUDERDALE, FL 33316-2591
(954) 355-4479
(954) 888-3979
Mailing address
1608 SE 3RD AVE FL 3, FORT LAUDERDALE, FL 33316-2564
(954) 355-4479
(954) 888-3979
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
08/14/2026
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