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NPI Code Detail

MEDICARE: GEMINI ORTHOPEDIC CORP

MEDICARE: GEMINI ORTHOPEDIC CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies2083FL

General Provider Information

NPI Number : 1194703116
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEMINI ORTHOPEDIC CORP
Provider Business Mailing Address
First Line : 6701 SUNSET DR
Second Line : SUITE 111
City : SOUTH MIAMI
State : FL
Zip : 33143-4529
Country : US
Telephone Number : 786-268-7229
Fax Number : 786-268-7192
Provider Business Practice Location Address
First Line : 6701 SUNSET DR
Second Line : SUITE 111
City : SOUTH MIAMI
State : FL
Zip : 33143-4529
Country : US
Telephone Number : 786-268-7229
Fax Number : 786-268-7192
Authorized Official
Title or Position : PRESIDENT
Name : ELBA M CAICEDO
Credential :
Telephone Number : 786-268-7229
Provider Enumeration Date : 01/09/2006
Last Update Date : 08/22/2020

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Directions to “GEMINI ORTHOPEDIC CORP ” Practice Location

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