MEDICARE: GSAREEN, LLC.,

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	:	1548135619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GSAREEN, LLC.,

Provider Business Mailing Address
First Line	:	3472 FOREST HILL BLVD STE 3B
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-5684
Country	:	US
Telephone Number	:	561-879-4006
Fax Number	:	561-879-4008

Provider Business Practice Location Address
First Line	:	3472 FOREST HILL BLVD STE 3B
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-5684
Country	:	US
Telephone Number	:	561-879-4006
Fax Number	:	561-879-4008

Authorized Official
Title or Position	:	MANAGED CARE DIRECTOR
Name	:	JORGE GARCIA
Credential	:
Telephone Number	:	305-606-0337

Provider Enumeration Date	:	10/08/2025
Last Update Date	:	10/08/2025

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