=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568708253
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GTV NETWORKS, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/27/2012
-----------------------------------------------------
Last Update Date | 12/27/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 102 NE 2ND ST #258
-----------------------------------------------------
City | BOCA RATON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33432-3908
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-857-6968
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 102 NE 2ND ST #258
-----------------------------------------------------
City | BOCA RATON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33432-3908
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-857-6968
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. DAVID WINTER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 877-857-6968
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------