MEDICARE: GERIATRIC CARE SPECIALISTS 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
1	314000000X	Skilled Nursing Facility	OS7760	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881103315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GERIATRIC CARE SPECIALISTS INC

Provider Business Mailing Address
First Line	:	3156 INVERNESS
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33332-1816
Country	:	US
Telephone Number	:	954-888-4223
Fax Number	:	954-888-4223

Provider Business Practice Location Address
First Line	:	3156 INVERNESS
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33332-1816
Country	:	US
Telephone Number	:	954-888-4223
Fax Number	:	954-888-4223

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KIM GOLDMINTZ
Credential	:	D.O.
Telephone Number	:	954-888-4223

Provider Enumeration Date	:	09/27/2017
Last Update Date	:	07/21/2022

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