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Christopher J Gannon, MD

Surgery, Surgical Oncology in Hollywood, FL. Individual provider (NPI-1).

NPI number1962500207
StatusActive
Last updated in NPPESMar 16, 2021

Details

NPI
1962500207
Entity type
Individual (NPI-1)
Name
Christopher J Gannon
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 20, 2006
Certification date
Mar 16, 2021
Last updated
Mar 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086X0206X Surgery, Surgical OncologyME126000FLYes

Practice location

1150 N 35th Ave Ste 650
Hollywood, FL 33021

Phone 954-265-9520 · Fax 954-265-9546

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925

Phone 954-276-5685 · Fax 954-985-7074

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