Dr. Jose G. Cevallos M.D.
Internal Medicine Physician in Fort Lauderdale, FL(View on Map)
Full Name
Dr. Jose Gustavo Cevallos M.D.
NPI Number
1922236736
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/30/2009
Specialties
(Taxonomies)Licenses
State
Florida
Texas
License Number
ME114288
U5083
Contact
Information
Purpose
Mailing
Location
Address
5353 N FEDERAL HWY STE 400406
5353 N FEDERAL HWY STE 400
City
Fort Lauderdale
Fort Lauderdale
State
FL
FL
Postal Code
33308-3245
33308-3244
Country
US
US
Telephone Number
(954) 938-2843
(954) 938-2843
Identifiers
Identifier
U5083
011046600
ME114288
Identifier State
TX
FL
FL
Identifier Issuer
TEXAS MEDICAL LICENSE
Unknown
FLORIDA MEDICAL LICENSE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/01/2024