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NPI Code Detail

MEDICARE: GLOBAL HEALTH PROVIDER CORP

MEDICARE: GLOBAL HEALTH PROVIDER 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
1261QH0100XHealth Service Clinic/CenterME106369FL

General Provider Information

NPI Number : 1366853939
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLOBAL HEALTH PROVIDER CORP
Provider Business Mailing Address
First Line : 6001 NW 153RD ST STE 102
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33014-2447
Country : US
Telephone Number : 786-703-4918
Fax Number : 786-703-4920
Provider Business Practice Location Address
First Line : 6001 NW 153RD ST STE 102
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33014-2447
Country : US
Telephone Number : 786-703-4918
Fax Number : 786-703-4920
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : BLANCA NELIDA GONZALEZ
Credential : MD
Telephone Number : 786-703-4918
Provider Enumeration Date : 05/16/2014
Last Update Date : 05/16/2014

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Directions to “GLOBAL HEALTH PROVIDER CORP ” Practice Location

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