| Gaia Clinical Services, Inc. | |
|
511 Lemon St Auburndale FL 33823-4232 | |
| (863) 288-0065 | |
| Not Available |
| Full Name | Gaia Clinical Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 511 Lemon St, Auburndale, Florida |
| Authorized Official Name and Position | Gladis Rodriguez (PRESIDENT) |
| Authorized Official Contact | 8632880065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaia Clinical Services, Inc. 511 Lemon St Auburndale FL 33823-4232 Ph: (863) 288-0065 | Gaia Clinical Services, Inc. 511 Lemon St Auburndale FL 33823-4232 Ph: (863) 288-0065 |
| NPI Number | 1992000335 |
|---|---|
| Provider Enumeration Date | 01/17/2011 |
| Last Update Date | 01/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992000335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW7818 (Florida) | Primary |
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