Organization
GEORGE GEORGAKAKIS M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE GEORGAKAKIS M.D. (DOCTOR)
(954) 493-8807
Entity
Organization
Contact information
Practice address
4801 N FEDERAL HWY, SUITE 302, FORT LAUDERDALE, FL 33308-4618
(954) 493-8773
(954) 493-8807
Mailing address
4801 N FEDERAL HWY, SUITE 302, FORT LAUDERDALE, FL 33308-4618
(954) 493-8773
(954) 493-8807
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME82034
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51006
MEDICARE PPAN
FL
Enumeration date
01/12/2011
Last updated
01/12/2011
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