OrganizationActive
Canyon Gate Medical Group LLC
NPI 1598085797 · Internal Medicine Physician · Coral Springs, FL
Provider details
- NPI number
- 1598085797
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ricki Moskow, President(954) 656-8855
- License
- 12804 (NV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2929 N. University Dr.
Suite # 110
Coral Springs, FL 33065-5081
Phone: (954) 656-8855
Fax: (954) 656-8855
Street-level locationGet directions
Mailing address
2832 E. Lake Mead Blvd.
N. Las Vegas, NV 89030-6550
Registry dates
- Enumerated
- 2010-06-10
- Last updated
- 2010-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.