Healthcare Provider Details

I. General information

NPI: 1598542136
Provider Name (Legal Business Name): GC AMERICAN HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2023
Last Update Date: 09/08/2023
Certification Date: 09/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9600 NW 38TH ST STE 305
DORAL FL
33178-2374
US

IV. Provider business mailing address

9600 NW 38TH ST STE 305
DORAL FL
33178-2374
US

V. Phone/Fax

Practice location:
  • Phone: 786-203-9475
  • Fax:
Mailing address:
  • Phone: 786-203-9475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: JOSE GARGANTA
Title or Position: OWNER
Credential:
Phone: 786-203-9475