MEDICARE: GS MEDICAL GROUP, P.A.

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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1528887759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GS MEDICAL GROUP, P.A.

Provider Business Mailing Address
First Line	:	643 US HIGHWAY 1 UNIT 14005
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-4632
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	643 US HIGHWAY 1 UNIT 14005
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-4632
Country	:	US
Telephone Number	:	561-389-7908
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JIMMY FERNANDEZ
Credential	:	MD
Telephone Number	:	561-389-7908

Provider Enumeration Date	:	10/04/2024
Last Update Date	:	10/04/2024

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