Healthcare Provider Details

I. General information

NPI: 1346359551
Provider Name (Legal Business Name): GROUP G CONSULTANTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 12/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 NE SPANISH RVR BLVD STE 105
BOCA RATON FL
33431
US

IV. Provider business mailing address

625 NE SPANISH RIVER BLVD STE 105
BOCA RATON FL
33431
US

V. Phone/Fax

Practice location:
  • Phone: 561-362-4701
  • Fax: 561-362-4707
Mailing address:
  • Phone: 561-362-4701
  • Fax: 561-362-4707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPH11370
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: NORBERT GRABER
Title or Position: PRESIDENT
Credential: RPH
Phone: 561-251-8136