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NPI Code Detail

MEDICARE: GTG CARE

MEDICARE: GTG CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist
2225X00000XOccupational Therapist
3235Z00000XSpeech-Language Pathologist
4163W00000XRegistered Nurse

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164962056
Entity Type Code : Organization
Provider Name (Legal Business Name) : GTG CARE
Provider Business Mailing Address
First Line : 900 BISCAYNE BLVD APT 5610
Second Line :
City : MIAMI
State : FL
Zip : 33132-1577
Country : US
Telephone Number : 305-439-0263
Fax Number : 786-288-3617
Provider Business Practice Location Address
First Line : 4475 SW 8TH ST
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-2562
Country : US
Telephone Number : 305-439-0263
Fax Number : 786-288-3617
Authorized Official
Title or Position : OWNER
Name : MR. ROBERT JAMES KIDD
Credential : DPT
Telephone Number : 305-439-0263
Provider Enumeration Date : 02/27/2017
Last Update Date : 02/27/2017

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Directions to “GTG CARE ” Practice Location

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