| Gedeon Medical Center, Md | |
|
11011 Sheridan St Ste 215 Hollywood FL 33026-1531 | |
| (954) 842-4285 | |
| Not Available |
| Full Name | Gedeon Medical Center, Md |
|---|---|
| Speciality | Clinic/Center |
| Location | 11011 Sheridan St Ste 215, Hollywood, Florida |
| Authorized Official Name and Position | Leon Gedeon (PRESIDENT) |
| Authorized Official Contact | 9548424285 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gedeon Medical Center, Md 11011 Sheridan St Ste 215 Hollywood FL 33026-1531 Ph: (954) 842-4285 | Gedeon Medical Center, Md 11011 Sheridan St Ste 215 Hollywood FL 33026-1531 Ph: (954) 842-4285 |
| NPI Number | 1922753516 |
|---|---|
| Provider Enumeration Date | 02/13/2022 |
| Last Update Date | 02/19/2025 |
| Medicare PECOS PAC ID | 3072995950 |
|---|---|
| Medicare Enrollment ID | O20220809003371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922753516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Leon S Gedeon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962727917 PECOS PAC ID: 0042459604 Enrollment ID: I20130918000601 |
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