Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Canyon Gate Medical Group LLC

Organization Internal Medicine Physician · NPI 1598085797

Canyon Gate Medical Group LLC is an Internal Medicine Physician in Coral Springs, Florida. Licensed in Nevada. Registered with an NPI since 2010.

Licensed in
NV
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2929 N University Dr Ste # 110
Coral Springs, FL 33065-5081
Phone: (954) 656-8855
Fax: (954) 656-8855
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 12804 (NV)

Record details

NPI number1598085797
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricki Moskow — President · (954) 656-8855
NPI enumeratedJune 10, 2010
Last updated in NPPESJune 10, 2010
Mailing address2832 E. Lake Mead Blvd., Suite E, N. Las Vegas, NV 89030-6550

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