George Georgakakis M.D. P.a.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

ME82034 Issued in FL

Legal business name

GEORGE GEORGAKAKIS M.D. P.A.

Practice address

4801 N Federal Hwy
Suite 302
Fort Lauderdale, FL 33308-4618

Phone

(954) 493-8773

Fax

(954) 493-8807

NPI assigned

Jan 12, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. George Georgakakis, M.D.NPI 1750470316

Title

Doctor

Phone

(954) 493-8807

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Georgakakis, MD

  • Otolaryngology Physician
  • Ft Lauderdale, FL
  • NPI 1750470316
  Medicare reassignment NPD Authorized official
• Tatiana Maria Eguizabal, AU.D.

  • Audiologist
  • Lighthouse Point, FL
  • NPI 1477703254
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1982909537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 N FEDERAL HWY",
            "address_2": "SUITE 302",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084618",
            "telephone_number": "954-493-8773",
            "fax_number": "954-493-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 N FEDERAL HWY",
            "address_2": "SUITE 302",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084618",
            "telephone_number": "954-493-8773",
            "fax_number": "954-493-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE GEORGAKAKIS M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "GEORGAKAKIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "954-493-8807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME82034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PPAN",
            "identifier": "51006",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gentle Teeth and Braces of Cooper City PA
• George Georgakakis, MD
• George a Fournier III MD Facs PA
• George a Fournier III, M.D., F.a.C.S., P.a.
• George C Button MD PA
• George P Azar Jr MD PA
• Robert A George, MD
• Lillian Dicks Georgia
• Gerald H Rappaport DC PA
• Gerard Wasselle DMD LLC

• Otolaryngology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.