Healthcare Provider Details

I. General information

NPI: 1720755226
Provider Name (Legal Business Name): GS HEALTH GLOBAL SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2021
Last Update Date: 09/08/2021
Certification Date: 09/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 FONTAINEBLEAU BLVD STE 1A3
MIAMI FL
33172-4511
US

IV. Provider business mailing address

175 FONTAINEBLEAU BLVD STE 1A1
MIAMI FL
33172-4511
US

V. Phone/Fax

Practice location:
  • Phone: 786-678-5897
  • Fax: 305-485-7705
Mailing address:
  • Phone: 786-678-5897
  • Fax: 305-485-7705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHEL ACOSTA
Title or Position: OWNER
Credential:
Phone: 786-260-4444