Healthcare Provider Details

I. General information

NPI: 1841664026
Provider Name (Legal Business Name): GLOBAL HEALTH CARE SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2015
Last Update Date: 11/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1133 SAXON BLVD STE 200
ORANGE CITY FL
32763-8425
US

IV. Provider business mailing address

1133 SAXON BLVD STE 200
ORANGE CITY FL
32763-8425
US

V. Phone/Fax

Practice location:
  • Phone: 386-228-9700
  • Fax: 386-228-9701
Mailing address:
  • Phone: 386-228-9700
  • Fax: 386-228-9701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberOS8600
License Number StateFL

VIII. Authorized Official

Name: JAY CHANMUGAM
Title or Position: PRESIDENT
Credential: D.O
Phone: 407-495-8959