Healthcare Provider Details

I. General information

NPI: 1053340265
Provider Name (Legal Business Name): G & A EQUIPMENT SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1545 SW 1ST ST STE 301
MIAMI FL
33135-2163
US

IV. Provider business mailing address

1545 SW 1ST ST STE 301
MIAMI FL
33135-2163
US

V. Phone/Fax

Practice location:
  • Phone: 305-644-5989
  • Fax: 305-644-5965
Mailing address:
  • Phone: 305-644-5989
  • Fax: 305-644-5965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number176840-0003
License Number StateFL

VIII. Authorized Official

Name: LIZBET GOMEZ
Title or Position: PRESIDENT
Credential:
Phone: 305-644-5990