Healthcare Provider Details

I. General information

NPI: 1700709540
Provider Name (Legal Business Name): GS MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 NE 123RD ST
NORTH MIAMI FL
33181-2817
US

IV. Provider business mailing address

1801 NE 123RD ST
NORTH MIAMI FL
33181-2817
US

V. Phone/Fax

Practice location:
  • Phone: 800-261-2102
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: GUERLINE SEJOUR
Title or Position: MANAGER
Credential: NP
Phone: 800-261-2102