Basic Information
| Provider Information | |||||||||
| NPI: | 1083616320 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GANS | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | HARRY | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 525 OKEECHOBEE BLVD | ||||||||
| Address2: | SUITE 1400 | ||||||||
| City: | WEST PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334016349 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5618040200 | ||||||||
| FaxNumber: | 5618040222 | ||||||||
| Practice Location | |||||||||
| Address1: | 525 OKEECHOBEE BLVD | ||||||||
| Address2: | SUITE 1400 | ||||||||
| City: | WEST PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334016349 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5618040200 | ||||||||
| FaxNumber: | 5618040222 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2005 | ||||||||
| LastUpdateDate: | 05/07/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | ME87114 | FL | Y | Allopathic & Osteopathic Physicians | Urology |
ID Information
| ID | Type | State | Issuer | Description | 78634 | 01 | FL | BC/BS FLORIDA | OTHER |