Healthcare Provider Details

I. General information

NPI: 1063487601
Provider Name (Legal Business Name): GEDDIS ABEL-BEY JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 NW 7TH AVE
FORT LAUDERDALE FL
33311-9026
US

IV. Provider business mailing address

1608 SE 3RD AVE FL 3
FORT LAUDERDALE FL
33316-2564
US

V. Phone/Fax

Practice location:
  • Phone: 954-759-6600
  • Fax: 954-759-6665
Mailing address:
  • Phone: 954-759-6600
  • Fax: 954-759-6665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number82021
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME156793
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: