| George Gurdock, DO | |
|
901 45th St, Mangonia Park, FL 33407-2413 | |
| (561) 844-6300 | |
| Not Available |
| Full Name | George Gurdock |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 901 45th St, Mangonia Park, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932156676 | NPI | - | NPPES |
| 269762900 | Medicaid | FL | |
| 43518 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | OS0009173 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | OS9173 (Florida) | Primary |
| Entity Name | Inphynet Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073556767 PECOS PAC ID: 7416865811 Enrollment ID: O20031105000125 |
| Entity Name | Paragon Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20041207001148 |
| Entity Name | Hospital Physician Services Of Florida Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558718635 PECOS PAC ID: 7012201965 Enrollment ID: O20160816000476 |
| Mailing Address | Practice Location Address |
|---|---|
| George Gurdock, DO 8982 Wendy Ln W, Royal Palm Beach, FL 33411-6525 Ph: (561) 351-0752 | George Gurdock, DO 901 45th St, Mangonia Park, FL 33407-2413 Ph: (561) 844-6300 |
Kyle Gerakopoulos, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 45th St, Mangonia Park, FL 33407 Phone: 561-882-9944 Fax: 561-882-9944 | |
Dr. Shanteria D Dixon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 45th St, Mangonia Park, FL 33407 Phone: 561-882-9944 |