Basic Information
Provider Information
NPI: 1386980506
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EL HAYEK
FirstName: GEORGES
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 125 SW 11TH ST
Address2:  
City: OCALA
State: FL
PostalCode: 344710967
CountryCode: US
TelephoneNumber: 3523549000
FaxNumber: 3526200255
Practice Location
Address1: 125 SW 11TH ST
Address2:  
City: OCALA
State: FL
PostalCode: 344710967
CountryCode: US
TelephoneNumber: 3523549000
FaxNumber: 3526200255
Other Information
ProviderEnumerationDate: 12/15/2012
LastUpdateDate: 09/07/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/07/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0011XME140118FLY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology

No ID Information.


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