MEDICARE: MRS. CIGDEM SEHER GALI

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
1	363A00000X	Physician Assistant	PA9110955	FL

General Provider Information

NPI Number	:	1245690312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CIGDEM SEHER GALI

Provider Business Mailing Address
First Line	:	9481 CAMPI DR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-6998
Country	:	US
Telephone Number	:	561-703-7735
Fax Number	:

Provider Business Practice Location Address
First Line	:	3981 S JOG RD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33467-1514
Country	:	US
Telephone Number	:	561-336-0994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2016
Last Update Date	:	12/19/2018

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