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NPI Code Detail

MEDICARE: DR. GEDDIS ABEL-BEY JR. M.D.

MEDICARE: DR. GEDDIS ABEL-BEY JR. 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
1207V00000XObstetrics & Gynecology Physician82021SC
2207VG0400XGynecology PhysicianME156793FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063487601
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEDDIS ABEL-BEY JR. M.D.
Provider Business Mailing Address
First Line : 1608 SE 3RD AVE FL 3
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33316-2564
Country : US
Telephone Number : 954-759-6600
Fax Number : 954-759-6665
Provider Business Practice Location Address
First Line : 200 NW 7TH AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33311-9026
Country : US
Telephone Number : 954-759-6600
Fax Number : 954-759-6665
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 02/25/2025

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