MEDICARE: DR. WILLIAM HARRY GANS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	ME87114	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	78634	OTHER	FL	BC/BS FLORIDA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083616320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM HARRY GANS M.D.

Provider Business Mailing Address
First Line	:	525 OKEECHOBEE BLVD
Second Line	:	SUITE 1400
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-6349
Country	:	US
Telephone Number	:	561-804-0200
Fax Number	:	561-804-0222

Provider Business Practice Location Address
First Line	:	525 OKEECHOBEE BLVD
Second Line	:	SUITE 1400
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-6349
Country	:	US
Telephone Number	:	561-804-0200
Fax Number	:	561-804-0222

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	05/07/2010

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