MEDICARE: GMAS HEALTHCARE LLC

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1588310163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GMAS HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	13830 MORNING FROST DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-7479
Country	:	US
Telephone Number	:	407-415-8874
Fax Number	:

Provider Business Practice Location Address
First Line	:	16877 E COLONIAL DR STE 332
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32820-1910
Country	:	US
Telephone Number	:	407-415-8874
Fax Number	:	949-437-2594

Authorized Official
Title or Position	:	CEO
Name	:	MERLYN SALMON
Credential	:	APRN
Telephone Number	:	407-415-8874

Provider Enumeration Date	:	02/23/2022
Last Update Date	:	02/23/2022

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Directions to “GMAS HEALTHCARE LLC ” Practice Location

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