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General NPI Number Information
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NPI Number | 1669680575
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Entity Type | Individual
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Provider Name | WILLIAM I GANZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 11/27/2007
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Provider Practice Location Address
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Address Line | 7400 SW 87TH AVE SUITE 220
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City | MIAMI
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State | FL
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Zip | 33173-5458
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Country | US
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Telephone | 305-275-6069
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Fax | 305-412-8265
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Provider Business Mailing Address
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Address Line | 9485 SW 72ND ST SUITE A150
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City | MIAMI
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State | FL
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Zip | 33173-3242
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Country | US
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Telephone | 305-275-6069
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Fax | 305-412-8265
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME48488
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License Number State | FL
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