MEDICARE: GIGI'S FRESH PRODUCTS 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1619842606
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GIGI'S FRESH PRODUCTS LLC

Provider Business Mailing Address
First Line	:	446 BLACKBIRD CT
Second Line	:
City	:	LAKE PLACID
State	:	FL
Zip	:	33852-9120
Country	:	US
Telephone Number	:	239-778-7134
Fax Number	:

Provider Business Practice Location Address
First Line	:	446 BLACKBIRD CT
Second Line	:
City	:	LAKE PLACID
State	:	FL
Zip	:	33852-9120
Country	:	US
Telephone Number	:	239-778-7134
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LEANNA GALVEZ
Credential	:	N/A
Telephone Number	:	239-778-4117

Provider Enumeration Date	:	10/08/2025
Last Update Date	:	10/08/2025

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