MEDICARE: GERIATRIC HEALTH SYSTEMS INC.

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	174400000X	Specialist

Other Identifiers

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

General Provider Information

NPI Number	:	1811194640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GERIATRIC HEALTH SYSTEMS INC.

Provider Business Mailing Address
First Line	:	2340 NE 53RD ST
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-3212
Country	:	US
Telephone Number	:	954-776-7755
Fax Number	:	954-771-2722

Provider Business Practice Location Address
First Line	:	2340 NE 53RD ST
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-3212
Country	:	US
Telephone Number	:	954-776-7755
Fax Number	:	954-771-2722

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID B ROONEY
Credential	:	MD
Telephone Number	:	954-776-7755

Provider Enumeration Date	:	06/27/2007
Last Update Date	:	04/17/2013

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