Healthcare Provider Details

I. General information

NPI: 1538693338
Provider Name (Legal Business Name): GLOBAL HEALTH BUSINESS SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2017
Last Update Date: 04/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 RIVIERA CIR
WESTON FL
33326-3116
US

IV. Provider business mailing address

202 RIVIERA CIR
WESTON FL
33326-3116
US

V. Phone/Fax

Practice location:
  • Phone: 786-901-1629
  • Fax:
Mailing address:
  • Phone: 786-901-1629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNULL

VIII. Authorized Official

Name: CARLOS MONTOYA
Title or Position: OWNER
Credential:
Phone: 786-901-1629