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NPI Code Detail

MEDICARE: CARLOS GANUZA, M. D. , P. A.

MEDICARE: CARLOS GANUZA, M. D. , P. A.
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
1174400000XSpecialistME29235FL

General Provider Information

NPI Number : 1821203662
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARLOS GANUZA, M. D. , P. A.
Provider Business Mailing Address
First Line : 2154 DUCK SLOUGH BLVD
Second Line : SUITE102
City : NEW PORT RICHEY
State : FL
Zip : 34655
Country : US
Telephone Number : 727-375-7578
Fax Number : 727-375-7568
Provider Business Practice Location Address
First Line : 2154 DUCK SLOUGH BLVD
Second Line : 102
City : NEW PORT RICHEY
State : FL
Zip : 34655-3933
Country : US
Telephone Number : 727-375-7578
Fax Number : 727-375-7568
Authorized Official
Title or Position : OWNER
Name : DR. CARLOS GANUZA
Credential : M.D
Telephone Number : 727-375-7578
Provider Enumeration Date : 05/14/2007
Last Update Date : 05/23/2008

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Directions to “CARLOS GANUZA, M. D. , P. A. ” Practice Location

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