MEDICARE: G & C MEDICAL CENTER 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
1	261Q00000X	Clinic/Center	603290-8	FL

General Provider Information

NPI Number	:	1356389266
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G & C MEDICAL CENTER CORP

Provider Business Mailing Address
First Line	:	6555 NW 36TH ST
Second Line	:	SUITE 328
City	:	VIRGINIA GARDENS
State	:	FL
Zip	:	33166-6978
Country	:	US
Telephone Number	:	786-506-6323
Fax Number	:	305-805-8566

Provider Business Practice Location Address
First Line	:	6555 NW 36TH ST
Second Line	:	SUITE 328
City	:	VIRGINIA GARDENS
State	:	FL
Zip	:	33166-6978
Country	:	US
Telephone Number	:	786-506-6323
Fax Number	:	305-805-8566

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. GILBERTO J CASTILLO
Credential	:
Telephone Number	:	786-506-6323

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	08/22/2020

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Directions to “G & C MEDICAL CENTER CORP ” Practice Location

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