Healthcare Provider Details

I. General information

NPI: 1851261937
Provider Name (Legal Business Name): G VENTURE FLAGLER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1757 SW 3RD AVE
MIAMI FL
33129-1414
US

IV. Provider business mailing address

1757 SW 3RD AVE
MIAMI FL
33129-1414
US

V. Phone/Fax

Practice location:
  • Phone: 786-691-2323
  • Fax: 786-691-2322
Mailing address:
  • Phone: 786-691-2323
  • Fax: 786-691-2322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH SAADE
Title or Position: DIRECTOR
Credential:
Phone: 312-810-2809