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General NPI Number Information
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NPI Number | 1457371627
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Entity Type | Individual
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Provider Name | MICHAEL GIRGIS MD
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Gender | Male
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 125 S. STATE ROAD 7 SUITE 104 - #343
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City | WELLINGTON
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State | FL
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Zip | 33414
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Country | US
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Telephone | 561-247-3609
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Fax | 561-828-3190
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Provider Business Mailing Address
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Address Line | 10443 TRIANON PL
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City | WELLINGTON
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State | FL
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Zip | 33449-8075
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Country | US
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Telephone | 561-247-3609
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Fax | 561-828-3190
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M4793
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME115763
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License Number State | FL
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