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NPI Code Detail

MEDICARE: GTG SCHOOL INC

MEDICARE: GTG SCHOOL INC
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
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1841805835
Entity Type Code : Organization
Provider Name (Legal Business Name) : GTG SCHOOL INC
Provider Business Mailing Address
First Line : 6365 COLLINS AVE APT 4406
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33141-9622
Country : US
Telephone Number : 305-439-0263
Fax Number : 786-288-3617
Provider Business Practice Location Address
First Line : 4475 SW 8TH ST
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-2562
Country : US
Telephone Number : 305-439-0263
Fax Number : 786-288-3617
Authorized Official
Title or Position : PRESIDENT
Name : MR. ROBERT JAMES KIDD
Credential : DPT
Telephone Number : 305-439-0263
Provider Enumeration Date : 09/15/2020
Last Update Date : 09/15/2020

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Directions to “GTG SCHOOL INC ” Practice Location

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