Marc Gannon, O.D

NPI 1841286424 · on the registry since 2005 · sole proprietor

Practice

Address: 2021 E Commercial Blvd
Suite #301
Ft Lauderdale, FL 33308
Phone: (954) 776-5223
Fax: (954) 491-0027
Organisation at this address: United Services Of South Florida
Coral Ridge Gastroenterology Associates Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 152WL0500X
152WL0500X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-11-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida