Healthcare Provider Details

I. General information

NPI: 1609466648
Provider Name (Legal Business Name): GNS MEDICAL SERVICES MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2021
Last Update Date: 12/11/2023
Certification Date: 12/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11880 SW 40TH ST STE 305
MIAMI FL
33175-3574
US

IV. Provider business mailing address

4661 SW 153RD CT
MIAMI FL
33185-5225
US

V. Phone/Fax

Practice location:
  • Phone: 305-223-3131
  • Fax:
Mailing address:
  • Phone: 786-554-1055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: GEORGES SALIBA
Title or Position: OWNER
Credential: MD
Phone: 786-554-1055