Provider Demographics
NPI:1770121253
Name:FLORIAN GEGAJ MD LLC
Entity type:Organization
Organization Name:FLORIAN GEGAJ MD LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FLORIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEGAJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-353-0092
Mailing Address - Street 1:PO BOX 383
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:FL
Mailing Address - Zip Code:34484-0383
Mailing Address - Country:US
Mailing Address - Phone:352-353-0092
Mailing Address - Fax:352-353-0416
Practice Address - Street 1:1050 OLD CAMP RD STE 206
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-1762
Practice Address - Country:US
Practice Address - Phone:352-283-7954
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-16
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty