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Contact Information

CHRISTOPHER J GANNON, MD
1150 N 35TH AVE STE 650
HOLLYWOOD, FL33021
 Phone: 954-265-9520
 Fax: 954-265-9546
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHRISTOPHER J GANNON · (Male)

NPI Number 1962500207
Status Active
Credentials MD
Entity Individual
Enumeration date 09/20/2006
Last updated 03/16/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME126000
  • FL Medicaid 016045600
Hospital affiliation(s)
  • MEMORIAL HOSPITAL WEST - (Acute Care)
    703 N FLAMINGO RD
    PEMBROKE PINES, FL 33028
  • MEMORIAL REGIONAL HOSPITAL - (Acute Care)
    3501 JOHNSON ST
    HOLLYWOOD, FL 33021
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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