Healthcare Provider Details

I. General information

NPI: 1003340167
Provider Name (Legal Business Name): GCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2017
Last Update Date: 05/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 N ORANGE AVE SUITE 500
ORLANDO FL
32801-2449
US

IV. Provider business mailing address

37 N ORANGE AVE SUITE 500
ORLANDO FL
32801-2449
US

V. Phone/Fax

Practice location:
  • Phone: 407-926-4016
  • Fax: 800-886-6352
Mailing address:
  • Phone: 407-926-4016
  • Fax: 800-886-6352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: WALTER GIBSON
Title or Position: MANAGER
Credential:
Phone: 407-683-7649