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Individual

ALIX GAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2600 VAN BUREN ST, HOLLYWOOD, FL 33020-4818
(954) 927-0108
(954) 927-0206
Mailing address
2600 VAN BUREN ST, HOLLYWOOD, FL 33020-4818
(954) 962-7062
(954) 927-0206

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME54112
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
047484301
FL
Enumeration date
07/02/2006
Last updated
06/20/2016
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